Organization
BUCKEYE HOME HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA J FRAZIER DPH (VICE PRESIDENT)
(931) 879-9926
Entity
Organization
Contact information
Practice address
1125 GROVE ST, SUITE 130, LOUDON, TN 37774-1512
(865) 458-8905
(865) 458-8904
Mailing address
PO BOX 1197, JAMESTOWN, TN 38556
(931) 879-9926
(931) 752-7849
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
—
1454487
—
TN
Enumeration date
07/25/2006
Last updated
10/11/2007
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