Organization
REMUDA RANCH RLP
Active
Parent organization
REMUDA RANCH HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
REMUDA RANCH HOLDING COMPANY
Authorized official
MS. ANNE WHISLER (V.P. OF COMPLIANCE)
(928) 684-4029
Entity
Organization
Contact information
Practice address
55635 N VULTURE MINE RD, WICKENBURG, AZ 85390-4358
(928) 684-3913
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(928) 684-4029
(928) 684-4567
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
IFBH6963
AZ
Other
Enumeration date
10/23/2007
Last updated
12/08/2015
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