NPI 1568610764

Buckeye Community Services, INC

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

Practice location

Address: 125 Warner Ave, Logan, OH 43138-1570
Phone: (740) 385-9279
Fax: (740) 286-8775
Mailing address: PO Box 604, Jackson, OH 45640-0604

Authorised official

Name: Mackenize Shaw
Title: Business Office Manager
Phone: (740) 286-5039

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 3710032 (OH)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1568610764
Entity type: Organization
NPI issued: 3 Sep 2008
Record last updated: 24 Apr 2024

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.