GREAT LIFE RANCH LLC NPI 1508211418

NPI Information

  • NPI: 1508211418
  • Provider Name: GREAT LIFE RANCH, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 965 FRAZIER HOLLOW RD
    DOWELLTOWN, TN
    ZIP 37059
  • Phone: (615) 500-3591

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NPI Details

GREAT LIFE RANCH, LLC is a substance abuse rehabilitation facility in Dowelltown, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GREAT LIFE RANCH, LLC NPI is 1508211418. The provider is registered as an organization entity type.

The provider's business location address is:

965 FRAZIER HOLLOW RD
DOWELLTOWN, TN
ZIP 37059-859
Phone: (615) 500-3591

The provider's authorized official is William Ryan Walker .
The authorized official title is Operations Officer and has the following contact phone number (305) 502-2781.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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