Organization
SKY RANCH FOR BOYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOUKS (EXECUTIVE DIRECTOR)
(605) 797-4422
Entity
Organization
Contact information
Practice address
100 SKY RANCH LN, SKY RANCH, SD 57724-9401
(605) 797-4422
(605) 797-4425
Mailing address
100 SKY RANCH LN, SKY RANCH, SD 57724-9401
(605) 797-4422
(605) 797-4425
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
R57 97,326
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103747
—
IA
Enumeration date
03/01/2007
Last updated
08/22/2020
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