Healthcare Provider Details

I. General information

NPI: 1538869144
Provider Name (Legal Business Name): RECOVERY RANCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 STATE ROUTE 243
IRONTON OH
45638-8951
US

IV. Provider business mailing address

2711 STATE ROUTE 243
IRONTON OH
45638-8951
US

V. Phone/Fax

Practice location:
  • Phone: 740-307-8291
  • Fax:
Mailing address:
  • Phone: 740-307-8291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: KARSYN DANIELS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 740-307-8291