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Bob Belloni Ranch, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Coos Bay, Oregon
NPI 1093040693

Bob Belloni Ranch, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Coos Bay, OR. Bob Belloni Ranch, Inc. practices in Coos Bay, OR. The NPI Number for Bob Belloni Ranch, Inc. is 1093040693 and holds a License No. 43 (Oregon).

The current practice location address for Bob Belloni Ranch, Inc. is 320 Central Ave Ste 406, Coos Bay, OR and can be reached out via phone at 541-269-0321.

Location: 320 Central Ave Ste 406, Coos Bay, OR, 97420-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093040693
Provider Name
Bob Belloni Ranch, Inc.
Credential
Provider Entity Type
Organization
Address
320 Central Ave Ste 406, Coos Bay, OR, 97420-2241
Phone Number
541-269-0321
Fax Number
Provider Enumeration Date
10/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 Central Ave Ste 406
City
Coos Bay
State
Oregon
Zip
97420-2241
Phone Number
541-269-0321
Fax Number
person
Provider Business Mailing Address Details
Address
320 Central Ave Ste 406
City
Coos Bay
State
Oregon
Zip
97420-2241
Phone Number
541-269-0321
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
43 (Oregon)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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