Organization
BUCKEYE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRIS L MILLIKEN (EXECUTIVE DIRECTOR)
(740) 286-5039
Entity
Organization
Contact information
Practice address
220 MORTON ST, JACKSON, OH 45640-1027
(740) 286-5039
(740) 286-8775
Mailing address
PO BOX 604, 220 MORTON STREET, JACKSON, OH 45640-0604
(740) 286-5039
(740) 286-8775
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/09/2007
Last updated
08/27/2008
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