Provider Demographics
NPI:1235884958
Name:HIGH LONESOME THERAPEUTIC EQUESTRIAN CENTER
Entity Type:Organization
Organization Name:HIGH LONESOME THERAPEUTIC EQUESTRIAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-835-3739
Mailing Address - Street 1:15712 JOE BROWN HWY
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-5524
Mailing Address - Country:US
Mailing Address - Phone:828-835-3739
Mailing Address - Fax:
Practice Address - Street 1:15712 JOE BROWN HWY
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-5524
Practice Address - Country:US
Practice Address - Phone:828-835-3739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services