Organization
CHRYSALIS NEVADA INC
Active
Parent organization
CHRYSALIS NEVADA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRYSALIS NEVADA INC
Authorized official
MARC ROBERT CHRISTENSEN (PRESIDENT)
(801) 655-4950
Entity
Organization
Contact information
Practice address
5595 EQUITY AVE, SUITE 400, RENO, NV 89502-2589
(775) 322-6060
(775) 322-6061
Mailing address
1443 W 800 N, SUITE 103, OREM, UT 84057-2875
(801) 655-4950
(801) 655-4954
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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