Organization
VITALITY FOR LIFE
Active
Organization
VITALITY FOR LIFE
Active
Parent organization
CARSON VALLEY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARSON VALLEY MEDICAL CENTER
Authorized official
MR. WILLIAM HALE (CEO)
(775) 782-1586
Entity
Organization
Contact information
Practice address
1107 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5304
(775) 782-1599
(775) 782-1558
Mailing address
1107 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5304
(775) 782-1599
(775) 782-1558
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
10804
NV
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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