Provider Demographics
NPI:1114273356
Name:HIGH SKY CHILDREN'S RANCH, INC.
Entity Type:Organization
Organization Name:HIGH SKY CHILDREN'S RANCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JALYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-694-7728
Mailing Address - Street 1:8701 W COUNTY ROAD 60
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-1307
Mailing Address - Country:US
Mailing Address - Phone:432-694-7728
Mailing Address - Fax:432-694-9972
Practice Address - Street 1:8701 W COUNTY ROAD 60
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-1307
Practice Address - Country:US
Practice Address - Phone:432-694-7728
Practice Address - Fax:432-694-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency