| NPI | 1992278568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUTHINEE AGCAOILI LAONIYOMTHAI CEO 702-767-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2024-04-25 |