Organization
CHRYSALIS NEVADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC ROBERT CHRISTENSEN (PRESIDENT)
(801) 655-4950
Entity
Organization
Contact information
Practice address
3460 W CHEYENNE AVE, SUITE 100, NORTH LAS VEGAS, NV 89032-8241
(702) 227-7300
Mailing address
1443 W 800 N, SUITE 103, OREM, UT 84057-2875
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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