Chrysalis
Chrysalis is a Community Health Worker in Eureka, Montana. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
57 Trails End RdEureka, MT 59917-9332
Phone: (406) 889-5577
Fax: (406) 889-5576
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (IL) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (IL) |
Record details
| NPI number | 1134304926 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenny Pannell — Vice President · (406) 889-5577 |
| NPI enumerated | December 31, 2007 |
| Last updated in NPPES | December 31, 2007 |
| Mailing address | 57 Trails End Rd, Eureka, MT 59917-9332 |