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Organization

RANCHO BELLA FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK REIGELSPERGER (FOUNDER)
(602) 622-7731
Entity
Organization

Contact information

Practice address
21609 N 12TH AVE STE 600B, PHOENIX, AZ 85027-2836
(602) 622-7731
Mailing address
21609 N 12TH AVE STE 600B, PHOENIX, AZ 85027-2836
(602) 622-7731

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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