Provider Demographics
NPI:1750530523
Name:DESERT ROSE WELLNESS CENTERS OF AMERICA A CLOSE CORPORATION
Entity type:Organization
Organization Name:DESERT ROSE WELLNESS CENTERS OF AMERICA A CLOSE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-246-9336
Mailing Address - Street 1:PO BOX 1989
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-1989
Mailing Address - Country:US
Mailing Address - Phone:775-246-9336
Mailing Address - Fax:775-246-9338
Practice Address - Street 1:655 US HIGHWAY 50 E
Practice Address - Street 2:STE 3
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-6628
Practice Address - Country:US
Practice Address - Phone:775-246-9336
Practice Address - Fax:775-246-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty