| 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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