Organization
BUCKEYE COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY J BROOKS (EXECUTIVE DIRECTOR)
(740) 286-5039
Entity
Organization
Contact information
Practice address
528 PORTER RD, BIDWELL, OH 45614-9152
(740) 446-7756
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
2710339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159588
—
OH
Enumeration date
09/03/2008
Last updated
04/24/2024
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