Provider Demographics
NPI:1558857417
Name:ROLLING HILLS EQUINE, INC.
Entity Type:Organization
Organization Name:ROLLING HILLS EQUINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-684-9848
Mailing Address - Street 1:E1475 790TH AVE
Mailing Address - Street 2:
Mailing Address - City:KNAPP
Mailing Address - State:WI
Mailing Address - Zip Code:54749-9014
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:E1475 790TH AVE
Practice Address - Street 2:
Practice Address - City:KNAPP
Practice Address - State:WI
Practice Address - Zip Code:54749-9014
Practice Address - Country:US
Practice Address - Phone:715-684-9848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health