Organization
KALLIOPE'S RANCH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJANETTE JO GARDNER LYNCH (OWNER)
(936) 647-8429
Entity
Organization
Contact information
Practice address
504 N THOMASON ST, WILLIS, TX 77378-9273
(936) 647-8429
Mailing address
504 N THOMASON ST, WILLIS, TX 77378-9273
(936) 647-8429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282E00000X
Long Term Care Hospital
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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