OrganizationActive
Great Life Ranch, LLC
NPI 1508211418 · Substance Abuse Rehabilitation Facility · Dowelltown, TN
Provider details
- NPI number
- 1508211418
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Walker, Operations Officer(305) 502-2781
Specialties & taxonomies
Residential Treatment Facilities
Practice location
965 Frazier Hollow Rd
Dowelltown, TN 37059-1859
Phone: (615) 500-3591
Approximate (ZIP-level) locationGet directions
Mailing address
965 Frazier Hollow Rd
Dowelltown, TN 37059-1859
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.