Provider Demographics
NPI:1578230173
Name:NEW BEGINNINGS AT CIRCLE T RANCH
Entity Type:Organization
Organization Name:NEW BEGINNINGS AT CIRCLE T RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-288-9537
Mailing Address - Street 1:20010 FARGO AVE
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-9304
Mailing Address - Country:US
Mailing Address - Phone:559-288-9537
Mailing Address - Fax:
Practice Address - Street 1:20010 FARGO AVE
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-9304
Practice Address - Country:US
Practice Address - Phone:559-358-1379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty