Provider Demographics
NPI:1194572305
Name:OPERATION HORSES HEAL
Entity type:Organization
Organization Name:OPERATION HORSES HEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUCKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-255-0263
Mailing Address - Street 1:N8932 ZIMMERMAN RD
Mailing Address - Street 2:
Mailing Address - City:WESTBORO
Mailing Address - State:WI
Mailing Address - Zip Code:54490-9454
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:N8932 ZIMMERMAN RD
Practice Address - Street 2:
Practice Address - City:WESTBORO
Practice Address - State:WI
Practice Address - Zip Code:54490-9454
Practice Address - Country:US
Practice Address - Phone:715-255-0263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health