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Organization
BUCKNER IN HOME CARE LTD CO
Active
Organization
BUCKNER IN HOME CARE LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 484-3879
Entity
Organization
Contact information
Practice address
504 FOREST CIR APT 528, WALTERBORO, SC 29488-2972
(803) 998-6253
Mailing address
504 FOREST CIR APT 528, WALTERBORO, SC 29488-2972
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/07/2017
Last updated
06/20/2018
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