Main Ranch
NPI #1033397385 in Orangevale, California
Provider Information
- NPI Number
- 1033397385
- Entity Type
- Organization
- Organization Name
- Main Ranch
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 7, 2008
- Last Updated
- Feb 7, 2008
Practice Location
- Address
- 6526 MAIN AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-4312
- Phone
- (916) 987-0822
Authorized Official
- Name
- MR. EDUARDO P BALTAZAR
- Title
- ADMINISTRATOR
- Phone
- (916) 293-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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