Organization
BUCKEYE HOME HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA J FRAZIER DPH (VICE PRESIDENT)
(931) 879-9926
Entity
Organization
Contact information
Practice address
950 BAKER HWY, STE #2, HUNTSVILLE, TN 37756
(423) 663-4663
(423) 663-4250
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
—
1452469
—
TN
Enumeration date
07/25/2006
Last updated
05/10/2021
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