Provider Demographics
NPI:1336986124
Name:CAN YOU DIG IT RANCH
Entity type:Organization
Organization Name:CAN YOU DIG IT RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-338-0134
Mailing Address - Street 1:10040 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LUCERNE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92356-8717
Mailing Address - Country:US
Mailing Address - Phone:805-338-0134
Mailing Address - Fax:
Practice Address - Street 1:10040 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LUCERNE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92356-8717
Practice Address - Country:US
Practice Address - Phone:805-338-0134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No251V00000XAgenciesVoluntary or Charitable