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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
3032 SILVER SAGE DR, SUITE 102, CARSON CITY, NV 89701-6167
(775) 883-6060
(775) 883-6061
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
03/22/2016
Last updated
03/22/2016
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