Rocking Horse Ranch Afc Home

NPI #1689814063 in Fruitport, Michigan

Provider Information

NPI Number: 1689814063
Entity Type: Organization
Organization Name: Rocking Horse Ranch Afc Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 25, 2009
Last Updated: Feb 25, 2009

Practice Location

Address: 19138 144TH AVE
City: Fruitport
State: Michigan
ZIP Code: 49415-9670
Phone: (616) 846-6593

Authorized Official

Name: MRS. MOONYEEN L. LINCOLN
Title: OWNER
Phone: (616) 846-6593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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