Provider Demographics
NPI:1275354839
Name:BUCKEYE STATE HEALTH AND FAMILY SERVICES
Entity type:Organization
Organization Name:BUCKEYE STATE HEALTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-200-5850
Mailing Address - Street 1:1717 BRITTAIN RD STE 308
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1894
Mailing Address - Country:US
Mailing Address - Phone:234-200-5850
Mailing Address - Fax:
Practice Address - Street 1:1717 BRITTAIN RD STE 308
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1894
Practice Address - Country:US
Practice Address - Phone:234-200-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health