| NPI | 1942665922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE SANDERS TROUTMAN Director 702-395-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 4279HIC-9) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |