Provider Demographics
NPI:1396192886
Name:RANCH HOPE INC
Entity Type:Organization
Organization Name:RANCH HOPE INC
Other - Org Name:RANCH HOPE FOR BOYS
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:856-935-1555
Mailing Address - Street 1:45 SAWMILL RD
Mailing Address - Street 2:PO BOX 325
Mailing Address - City:ALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08001-1004
Mailing Address - Country:US
Mailing Address - Phone:856-935-1555
Mailing Address - Fax:856-935-5189
Practice Address - Street 1:45 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:ALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08001-1004
Practice Address - Country:US
Practice Address - Phone:856-935-1555
Practice Address - Fax:856-935-5189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children