# MAIN RANCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033397385
- **Authorized official:** MR. EDUARDO P BALTAZAR (ADMINISTRATOR)
- **Authorized official phone:** (916) 293-1500

## Contact information

- **Practice address:** 6526 MAIN AVE, ORANGEVALE, CA 95662-4312
- **Practice address phone:** (916) 987-0822
- **Practice address fax:** (916) 988-5837
- **Mailing address:** 7104 SANTA JUANITA AVE, ORANGEVALE, CA 95662-2832
- **Mailing address phone:** (916) 293-1500
- **Mailing address fax:** (916) 988-5837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008