Bob Belloni Ranch, Inc.

NPI 1093040693 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1093040693
Enumeration Date 10/15/2009
Last Updated 12/02/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROGER ROGER
Position EXECUTIVE DIRECTOR
Phone (541) 269-0321
Fax
Practice Location
320 CENTRAL AVE STE 406
COOS BAY OR, 97420-2241, US
Phone (541) 269-0321
Fax
Business Location
320 CENTRAL AVE STE 406
COOS BAY OR, 97420-2241, US
Phone
Fax
Toxanomy
Taxonomy Code 322D00000X
License State Oregon
License Number 43
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According to our database, Bob Belloni Ranch, Inc. NPI is 1093040693, taxonomy code is 322D00000X and license number is 43, license state is located at Oregon. Bob Belloni Ranch, Inc. physically located at 320 Central Ave Ste 406, Coos Bay OR, 97420-2241. NPI Number 1033115704 has the healthcare provider type.

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1093040693 NPI number is provided on an as is basis without warranty of any kind. 1093040693 is maintained by the National Plan & Provider Enumeration System. The contents of Bob Belloni Ranch, Inc. are for informational purposes only.