# SKY RANCH FOR BOYS, INC.

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

## Provider details

- **NPI number:** 1144358433
- **Authorized official:** SCOTT LOUKS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (605) 797-4422

## Contact information

- **Practice address:** 100 SKY RANCH LN, SKY RANCH, SD 57724-9401
- **Practice address phone:** (605) 797-4422
- **Practice address fax:** (605) 797-4425
- **Mailing address:** 100 SKY RANCH LN, SKY RANCH, SD 57724-9401
- **Mailing address phone:** (605) 797-4422
- **Mailing address fax:** (605) 797-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | R57 97,326 | SD | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1103747 | — | IA |