Organization
BOB BELLONI RANCH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THUJEE PAUL LHENDUP (EXECUTIVE DIRECTOR)
(541) 269-0321
Entity
Organization
Contact information
Practice address
320 CENTRAL AVE STE 406, COOS BAY, OR 97420-2241
(541) 269-0321
(541) 267-0785
Mailing address
320 CENTRAL AVE STE 406, COOS BAY, OR 97420-2241
(541) 269-0321
(541) 267-0785
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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