Organization
VITALIS MILK, LLC
Active
Organization
VITALIS MILK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALTON GADAL (MEMBER)
(702) 482-9570
Entity
Organization
Contact information
Practice address
6250 MOUNTAIN VISTA ST STE L-3D, HENDERSON, NV 89014-2320
(702) 482-9570
Mailing address
6250 MOUNTAIN VISTA ST STE L-3D, HENDERSON, NV 89014-2320
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
08/22/2025
Last updated
08/26/2026
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