Organization
BUCKEYE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULQANI SHARIF (CHAIRMAN)
(619) 773-5752
Entity
Organization
Contact information
Practice address
2110 SPRUCEFIELD RD, COLUMBUS, OH 43229-9115
(740) 403-3146
Mailing address
2110 SPRUCEFIELD RD, COLUMBUS, OH 43229-9115
(619) 773-5752
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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