| NPI | 1306333604 |
|---|---|
| Doing Business As | CAESARS LAKE TAHOE HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN A HINITT President 615-468-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NV PD00694) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-04-01 |