Organization
BUFFALO RIVER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP C. GARNER (EXECUTIVE DIRECTOR)
(931) 722-5401
Entity
Organization
Contact information
Practice address
410 HOG CREEK RD, WAYNESBORO, TN 38485-3704
(931) 722-5401
(931) 722-5403
Mailing address
410 HOG CREEK RD, WAYNESBORO, TN 38485-3704
(931) 722-5401
(931) 722-5403
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L3(20)4M5-046-3258
TN
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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