Novo Ranch LLC

NPI #1760724280 in Roosevelt, Utah

Provider Information

NPI Number: 1760724280
Entity Type: Organization
Organization Name: Novo Ranch LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 22, 2013
Last Updated: Mar 22, 2013

Practice Location

Address: 3549 W 1000 NORTH
City: Roosevelt
State: Utah
ZIP Code: 84066
Phone: (435) 823-4472

Authorized Official

Name: BEAU D HANCOCK
Title: OPERATIONS DIRECTOR
Phone: (435) 823-4472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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