Vitality For Life | |
1107 Us Highway 395 N Gardnerville NV 89410-5304 | |
(775) 782-1599 | |
(775) 782-1558 |
Full Name | Vitality For Life |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1107 Us Highway 395 N, Gardnerville, Nevada |
Authorized Official Name and Position | William Hale (CEO) |
Authorized Official Contact | 7757821586 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vitality For Life 1107 Us Highway 395 N Gardnerville NV 89410-5304 Ph: (775) 782-1599 | Vitality For Life 1107 Us Highway 395 N Gardnerville NV 89410-5304 Ph: (775) 782-1599 |
NPI Number | 1962779850 |
---|---|
Provider Enumeration Date | 11/21/2011 |
Last Update Date | 11/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962779850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 10804 (Nevada) | Primary |
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› Verified 9 days ago
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