Organization
BUCKNER IN HOME CARE LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 484-3879
Entity
Organization
Contact information
Practice address
504 FOREST CIR APT 528, WALTERBORO, SC 29488-2972
(803) 998-6253
Mailing address
504 FOREST CIR APT 528, WALTERBORO, SC 29488-2972
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/07/2017
Last updated
06/20/2018
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