Organization · Type 2 NPI
Buckhorn Residential
Lodging Provider · Phoenix, AZ
NPI number
1497534895
Active
Practice location
1945 W Van Buren St Ste 1
Phoenix, AZ 85009-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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About NPI 1497534895
Buckhorn Residential's National Provider Identifier is 1497534895, issued on Sep 25, 2023. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 25, 2023.