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NPI Code Detail

MEDICARE: THE RANCH RECOVERY CENTERS INC

MEDICARE: THE RANCH RECOVERY CENTERS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility330003ANCA

General Provider Information

NPI Number : 1649333030
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE RANCH RECOVERY CENTERS INC
Provider Business Mailing Address
First Line : 7885 ANNANDALE AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-1419
Country : US
Telephone Number : 760-329-2924
Fax Number : 760-329-0169
Provider Business Practice Location Address
First Line : 7885 ANNANDALE AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-1419
Country : US
Telephone Number : 760-329-2924
Fax Number : 760-329-0169
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. RICHARD MESA
Credential :
Telephone Number : 760-329-2924
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/22/2020

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Practice Fax:
1194935270 — ANTHONY E FRYE
Practice Location Address:
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92240-1419
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Practice Fax:
1497931224 — MRS. CHERYL LYNN WHITAKER
Practice Location Address:
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA
92240-1419
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1518143346 — MR. MICHAEL ANDREW SMITH
Practice Location Address:
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA
92240-1419
Practice Phone: 760-329-2924
Practice Fax: 760-329-0169

Directions to “THE RANCH RECOVERY CENTERS INC ” Practice Location

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