Provider Demographics
NPI:1417623505
Name:RYLIST, INC.
Entity Type:Organization
Organization Name:RYLIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-657-7222
Mailing Address - Street 1:1408 E THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2889
Mailing Address - Country:US
Mailing Address - Phone:805-657-7222
Mailing Address - Fax:805-777-9226
Practice Address - Street 1:965 RANCHO RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-2635
Practice Address - Country:US
Practice Address - Phone:800-560-8518
Practice Address - Fax:805-777-9226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA565850175OtherDEPT. OF HEALTH CARE SERVICES