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

TaxonomyCodeLicense
Lodging Provider Primary 177F00000XNone listed
Community/Behavioral Health Agency 251S00000XNone 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.