Provider Demographics
NPI:1235443136
Name:LIVING STONE RANCH, INC
Entity Type:Organization
Organization Name:LIVING STONE RANCH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-924-3680
Mailing Address - Street 1:19697 E RD
Mailing Address - Street 2:
Mailing Address - City:SOLDIER
Mailing Address - State:KS
Mailing Address - Zip Code:66540-9256
Mailing Address - Country:US
Mailing Address - Phone:785-924-3680
Mailing Address - Fax:
Practice Address - Street 1:26298 D RD
Practice Address - Street 2:
Practice Address - City:SOLDIER
Practice Address - State:KS
Practice Address - Zip Code:66540-9115
Practice Address - Country:US
Practice Address - Phone:785-834-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251C00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services