| Lazy Horse Ranch | |
|
3651 E Doe Ranch Rd Pearce AZ 85625-6002 | |
| (520) 826-2206 | |
| Not Available |
| Full Name | Lazy Horse Ranch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3651 E Doe Ranch Rd, Pearce, Arizona |
| Authorized Official Name and Position | Ann Supplee (OWNER) |
| Authorized Official Contact | 5208262206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazy Horse Ranch 3651 E Doe Ranch Rd Pearce AZ 85625-6002 Ph: (520) 826-2206 | Lazy Horse Ranch 3651 E Doe Ranch Rd Pearce AZ 85625-6002 Ph: (520) 826-2206 |
| NPI Number | 1932237492 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932237492 | NPI | - | NPPES |
| 075457 | Other | AZ | AHCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA06ADHS0188 (Arizona) | Primary |