NPI 1003064205

Buckeye Community Services, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Logan, OH

Practice location

Address: 823 Walnut Dowler Rd, Logan, OH 43138-8548
Phone: (740) 385-9279
Fax: (740) 385-5439
Mailing address: PO Box 604, Jackson, OH 45640-0604

Authorised official

Name: Iris L Milliken
Title: Executive Director
Phone: (740) 286-5039

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1003064205
Entity type: Organization
NPI issued: 3 Sep 2008
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.