Organization
VANNESS ENTERPRISES, LLC
Active
Parent organization
VAN NESS ENTREPRISES, LLC
Other names
Wellness Restoration Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN NESS ENTREPRISES, LLC
Authorized official
RANDEE P VAN NESS MS (CEO)
(719) 651-5102
Entity
Organization
Contact information
Practice address
4740 FLINTRIDGE DR STE 101, COLORADO SPRINGS, CO 80918-4254
(719) 510-6313
(719) 358-7756
Mailing address
4740 FLINTRIDGE DR STE 101, COLORADO SPRINGS, CO 80918-4254
(719) 510-6313
(719) 358-7756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
208D00000X
General Practice Physician
Primary
32854
CO
Other
Enumeration date
02/02/2010
Last updated
07/09/2010
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