Great Life Ranch, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GREAT LIFE RANCH, LLC

Practice address

965 Frazier Hollow Rd
Dowelltown, TN 37059-1859

Phone

(615) 500-3591

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Ryan Walker

Title

Operations Officer

Phone

(305) 502-2781

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1508211418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 FRAZIER HOLLOW RD",
            "city": "DOWELLTOWN",
            "state": "TN",
            "postal_code": "370591859",
            "telephone_number": "615-500-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 FRAZIER HOLLOW RD",
            "city": "DOWELLTOWN",
            "state": "TN",
            "postal_code": "370591859",
            "telephone_number": "615-500-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LIFE RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "305-502-2781"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Allen France, DPH
• New Frontiers Challenge Center
• QRM Solutions, LLC. (Preferred Home Care Solutions)
• Carl David Webb, CRNA

• Substance Abuse Rehabilitation Facility in Dowelltown, TN
• Providers in Dowelltown, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.