Organization
BUCKEYE HOME HEALTH CENTER
Active
Parent organization
BUCKEYE HOME HEALTH CENER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKEYE HOME HEALTH CENER
Authorized official
MRS. PAULA J FRAZIER (VICE PRESIDENT)
(931) 879-9926
Entity
Organization
Contact information
Practice address
315 E RACE ST, KINGSTON, TN 37763-2828
(865) 376-7044
(865) 376-7046
Mailing address
PO BOX 1197, JAMESTOWN, TN 38556
(931) 879-9926
(931) 752-7849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452467
—
TN
Enumeration date
08/11/2006
Last updated
03/27/2008
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