Chrysalis Utah, Llc in Orem - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Chrysalis Utah, Llc - NPI 1891898045
Chrysalis Utah, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Orem, Utah. Chrysalis Utah, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Chrysalis Utah, Llc is 1891898045. The last update date is 2022-07-21.
Chrysalis Utah, Llc's current location address is 1443 W 800 N, Orem, Utah. You can contact this provider via phone number 8016554950 and fax number 8016554954. The mailing address for Chrysalis Utah, Llc is 1443 W 800 N, Orem, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Chrysalis Utah, Llc |
---|---|
Address | 1443 W 800 N, Orem, Utah |
Phone Number | 8016554950 |
Fax Number | 8016554954 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF OPER |
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Authorized Official Name | Christensen Robert Marc |
Credentials | MMHC |
Telephone Number | 8016554950 |
NPI Number Detail
NPI Number | 1891898045 |
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Provider Enumeration Date | 2006-09-06 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 1443 W 800 N |
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City | Orem |
State | Utah (UT) |
Post Code | 840572875 |
Phone Number | 8016554950 |
Fax Number | 8016554954 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
788007788140 | UT | -- |
Post Comment/ Review Below
Could you please share the complete physical location address where Chrysalis Utah, Llc's facilities are situated?
The facilities of Chrysalis Utah, Llc are physically located at the following address: 1443 W 800 N, Orem, UT, 840572875.
What is Chrysalis Utah, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chrysalis Utah, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date was the 1891898045 assigned to Chrysalis Utah, Llc?
The Chrysalis Utah, Llc was issued its 1891898045 on 2006-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Chrysalis Utah, Llc receive the assignment of its 1891898045 from the Centers for Medicare & Medicaid Services?
The Chrysalis Utah, Llc was issued its 1891898045 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information regarding Chrysalis Utah, Llc most recently updated?
The details pertaining to the Chrysalis Utah, Llc, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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