Provider Demographics
NPI:1851199764
Name:WHISPERING MEADOWS RANCH
Entity type:Organization
Organization Name:WHISPERING MEADOWS RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:HELENE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-439-3195
Mailing Address - Street 1:5011 JOHN ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-5515
Mailing Address - Country:US
Mailing Address - Phone:386-439-3195
Mailing Address - Fax:
Practice Address - Street 1:5011 JOHN ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-5515
Practice Address - Country:US
Practice Address - Phone:386-503-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty