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Organization
BUCKEYE COMMUNITY SERVICES, INC
Active
Organization
BUCKEYE COMMUNITY SERVICES, INC
Active
Other names
Buckeye Community Services, Warner Home
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENIZE SHAW (BUSINESS OFFICE MANAGER)
(740) 286-5039
Entity
Organization
Contact information
Practice address
125 WARNER AVE, LOGAN, OH 43138-1570
(740) 385-9279
(740) 286-8775
Mailing address
PO BOX 604, JACKSON, OH 45640-0604
(740) 286-5039
(740) 286-8775
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3710032
OH
Other
Enumeration date
09/03/2008
Last updated
04/24/2024
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