Palace 1 Therapeutic Ranch

LBN: Palace 1 Therapeutic Ranch
Palace 1 Therapeutic Ranch is an health care organization with primary practice located at 2115 Mesa Wood Dr , Glenn Heights TX 75154-8583. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Palace 1 Therapeutic Ranch can be contacted via phone (469) 235-5443, or through Wooten-Rush, Virginia Irene via phone (469) 235-5443.

Contact Information

Primary practice address
2115 Mesa Wood Dr Glenn Heights TX 75154-8583
Phone: (469) 235-5443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wooten-Rush, Virginia Irene
Phone: (469) 235-5443

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1033831599
LBN Legal business name Palace 1 Therapeutic Ranch
DBA Doing business as
Authorized official Wooten-Rush, Virginia Irene
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2022
Last updated Sep 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033831599 NPPES
Texas Other 32072801361 TAXPAYER NUMBER

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