Organization
BUCKEYE HOME HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J ALLRED (VICE PRESIDENT)
(931) 879-9926
Entity
Organization
Contact information
Practice address
632 N CHANCERY ST, MCMINNVILLE, TN 37110-2080
(931) 474-2825
(931) 474-2829
Mailing address
PO BOX 1197, JAMESTOWN, TN 38556-1197
(931) 879-9926
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454455
—
TN
Enumeration date
09/09/2015
Last updated
05/10/2021
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