Provider Demographics
NPI:1275429474
Name:DLB RANCH, INC
Entity type:Organization
Organization Name:DLB RANCH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGGINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-360-0427
Mailing Address - Street 1:17596 SOUTHLAKE RD
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:96022-9041
Mailing Address - Country:US
Mailing Address - Phone:530-360-0427
Mailing Address - Fax:
Practice Address - Street 1:17596 SOUTHLAKE RD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:CA
Practice Address - Zip Code:96022-9041
Practice Address - Country:US
Practice Address - Phone:530-360-0427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty