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NPI Profile for BUCKHORN RESIDENTIAL in PHOENIX, AZ.
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lodging |
177F00000X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1497534895 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/25/2023 | |
| Last updated | 09/25/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BUCKHORN RESIDENTIAL
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BUCKHORN RESIDENTIAL