| NPI | 1992260285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRE HOLT Manager 702-665-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QM2800X Clinic/Center Methadone | |
| 261QP2300X Clinic/Center Primary Care | |
| 3416A0800X Ambulance Air Transport | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-03-13 |