Organization
BUCKEYE COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS L MILLIKEN (EXECUTIVE DIRECTOR)
(740) 286-5039
Entity
Organization
Contact information
Practice address
9267 STATE ROUTE 160, BIDWELL, OH 45614-9407
(740) 388-8195
Mailing address
PO BOX 604, 220 MORTON ST., 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
—
0508098
—
OH
Enumeration date
08/27/2008
Last updated
08/27/2008
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