| The Shepherd's Ranch, Inc. | |
|
209 Hidden Meadows Trl Mocksville NC 27028-4976 | |
| (336) 492-2308 | |
| (336) 492-2308 |
| Full Name | The Shepherd's Ranch, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 209 Hidden Meadows Trl, Mocksville, North Carolina |
| Authorized Official Name and Position | Vicki Lee Robinson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3364922308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shepherd's Ranch, Inc. 209 Hidden Meadows Trl Mocksville NC 27028-4976 Ph: (336) 492-2308 | The Shepherd's Ranch, Inc. 209 Hidden Meadows Trl Mocksville NC 27028-4976 Ph: (336) 492-2308 |
| NPI Number | 1972651651 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972651651 | NPI | - | NPPES |
| 8300982 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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