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Organization

BUCKEYE COMMUNITY SERVICES, INC

Active
Other names
Buckeye Community Services, Warner Home
Organization subpart
No

Provider details

NPI number
Authorized official
MACKENIZE SHAW (BUSINESS OFFICE MANAGER)
(740) 286-5039
Entity
Organization

Contact information

Practice address
125 WARNER AVE, LOGAN, OH 43138-1570
(740) 385-9279
(740) 286-8775
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
3710032
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0066771
OH
Enumeration date
09/03/2008
Last updated
04/24/2024
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