Provider Demographics
NPI:1083161467
Name:J BAR R RANCH CORP
Entity Type:Organization
Organization Name:J BAR R RANCH CORP
Other - Org Name:WE ROCK THE SPECTRUM ORANGE CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNSTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-540-1388
Mailing Address - Street 1:3498 450TH ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-7506
Mailing Address - Country:US
Mailing Address - Phone:712-737-2456
Mailing Address - Fax:
Practice Address - Street 1:3498 450TH ST
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-7506
Practice Address - Country:US
Practice Address - Phone:712-737-2456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care