Chrysalis Nevada, Inc. in Orem - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Chrysalis Nevada, Inc. - NPI 1285738476

Chrysalis Nevada, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Orem, Utah. Chrysalis Nevada, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Chrysalis Nevada, Inc. is 1285738476. The last update date is 2022-07-21.

Chrysalis Nevada, Inc.'s current location address is 223 W 520 N, Orem, Utah. You can contact this provider via phone number 8018051640 and fax number 8018056733. The mailing address for Chrysalis Nevada, Inc. is 223 W 520 N, Orem, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chrysalis Nevada, Inc.
Address 223 W 520 N, Orem, Utah
Phone Number 8018051640
Fax Number 8018056733
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF OPER
Authorized Official Name Christensen Robert Marc
Credentials MMHC
Telephone Number 8018051640

NPI Number Detail

NPI Number 1285738476
Provider Enumeration Date 2006-09-11
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 223 W 520 N
City Orem
State Utah (UT)
Post Code 840574696
Phone Number 8018051640
Fax Number 8018056733

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Chrysalis Nevada, Inc.

What is the unique 10-digit identification code assigned to Chrysalis Nevada, Inc. by the Centers for Medicare & Medicaid Services?

The Chrysalis Nevada, Inc. has been issued the NPI (National Provider Identifier) 1285738476, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Chrysalis Nevada, Inc. is physically located?

The Chrysalis Nevada, Inc. is situated at the following address: 223 W 520 N, Orem, UT 840574696.

What is Chrysalis Nevada, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Chrysalis Nevada, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1285738476 to Chrysalis Nevada, Inc.?

The Chrysalis Nevada, Inc. received its 1285738476 assignment from the Centers for Medicare & Medicaid Services on 2006-09-11.

When was the Chrysalis Nevada, Inc.'s information last updated?

The Chrysalis Nevada, Inc.'s information was last updated on 2022-07-21.

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