Provider Demographics
NPI:1275372492
Name:JANICE FAYES RANCH INC
Entity type:Organization
Organization Name:JANICE FAYES RANCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/POSITION
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:CANADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-819-1532
Mailing Address - Street 1:1967 THE AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-1237
Mailing Address - Country:US
Mailing Address - Phone:919-819-1532
Mailing Address - Fax:
Practice Address - Street 1:1967 THE AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-1237
Practice Address - Country:US
Practice Address - Phone:919-819-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution