| NPI | 1952172207 |
|---|---|
| Doing Business As | HENDERSON CARE HOME |
| Entity Type | Organization |
| Authorized Contact | LOUIE DE LUNA Owner 702-592-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |