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 # | 1497534895 |
| LBN Legal business name | BUCKHORN RESIDENTIAL |
| Authorized official | MICHAEL JOHNSON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/25/2023 |
| Last updated | 09/25/2023 - About 3 years ago |
| Identifiers | n/a |
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BUCKHORN RESIDENTIAL
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