Organization
BUCKMAN ENRICHMENT HOME
Active
Parent organization
THE BADDOUR CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BADDOUR CENTER, INC.
Authorized official
MR. PARKE DANIEL PEPPER (EXECUTIVE DIRECTOR)
(662) 366-6920
Entity
Organization
Contact information
Practice address
3297 HIGHWAY 51 S, SENATOBIA, MS 38668-2926
(662) 562-0100
Mailing address
PO BOX 97, SENATOBIA, MS 38668-0097
(662) 562-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1074
MS
Other
Enumeration date
09/23/2013
Last updated
03/02/2016
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