| NPI | 1912548264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANIKA SHUNTAAYE SIMPSON-JACKSON Owner 702-417-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |