Vanness Enterprises, LLC
General Practice in Colorado Springs, CO. Organization (NPI-2).
NPI number1508198565
StatusActive
Last updated in NPPESJul 9, 2010
Details
- NPI
- 1508198565
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanness Enterprises, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 2, 2010
- Last updated
- Jul 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 32854 | CO | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Wellness Restoration Centers (Doing Business As)
Practice location
4740 Flintridge Dr Ste 101Colorado Springs, CO 80918-4254
Phone 719-510-6313 · Fax 719-358-7756
Mailing address
4740 Flintridge Dr Ste 101Colorado Springs, CO 80918-4254
Phone 719-510-6313 · Fax 719-358-7756
Authorized official
Randee P Van Ness
Ceo
7196515102
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