Organization
BUCKEYE HOME HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA J ALLRED DPH (VICE PRESIDENT)
(931) 879-9926
Entity
Organization
Contact information
Practice address
321 WEST BROAD ST, SUITE A, LIVINGSTON, TN 38570
(931) 403-5050
(931) 403-5054
Mailing address
PO BOX 1197, JAMESTOWN, TN 38556
(931) 879-9926
(931) 879-2353
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
—
1455264
—
TN
Enumeration date
07/25/2006
Last updated
05/10/2021
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