National Provider Identifier Database

BUCKHORN RESIDENTIAL
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

BUCKHORN RESIDENTIAL
1945 W VAN BUREN ST STE 1
PHOENIX, AZ85009-3805
Phone: 480-293-4327
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for BUCKHORN RESIDENTIAL

NPI Number 1497534895
Legal business name
LBN
BUCKHORN RESIDENTIAL
Authorized official MICHAEL JOHNSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/25/2023
Last updated 09/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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