American Eagle Boys Ranch, Llc in Somerton - Residential Treatment Facility, Emotionally Disturbed Children
American Eagle Boys Ranch, Llc - NPI 1669644167
American Eagle Boys Ranch, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Somerton, Arizona. American Eagle Boys Ranch, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for American Eagle Boys Ranch, Llc is 1669644167. The last update date is 2008-03-25.
American Eagle Boys Ranch, Llc's current location address is 3536 W Venus Dr, Somerton, Arizona. You can contact this provider via phone number 9287266764. The mailing address for American Eagle Boys Ranch, Llc is 3536 W Venus Dr, Somerton, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | American Eagle Boys Ranch, Llc |
---|---|
Address | 3536 W Venus Dr, Somerton, Arizona |
Phone Number | 9287266764 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/ADMI |
---|---|
Authorized Official Name | Hansen Neil |
Telephone Number | 9287266764 |
NPI Number Detail
NPI Number | 1669644167 |
---|---|
Provider Enumeration Date | 2008-03-25 |
Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
Address | 3536 W Venus Dr |
---|---|
City | Somerton |
State | Arizona (AZ) |
Post Code | 853507245 |
Phone Number | 9287266764 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
---|---|
Taxonomy | 322D00000X |
Licence No | BH-2805 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
921850 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to American Eagle Boys Ranch, Llc by the Centers for Medicare & Medicaid Services?
The American Eagle Boys Ranch, Llc has been issued the NPI (National Provider Identifier) 1669644167 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where American Eagle Boys Ranch, Llc's facilities are geographically located?
The facilities of American Eagle Boys Ranch, Llc are physically situated at the following location: 3536 W Venus Dr, Somerton, AZ, 853507245.
What is the area of specialization for American Eagle Boys Ranch, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for American Eagle Boys Ranch, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669644167 to American Eagle Boys Ranch, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1669644167 to American Eagle Boys Ranch, Llc on 2008-03-25.
As of what date were the American Eagle Boys Ranch, Llc's details last updated?
The information pertaining to the American Eagle Boys Ranch, Llc, including its address, specialty, and other details, was most recently updated on 2008-03-25.