BUCKMAN ENRICHMENT HOME NPI 1942636998

NPI Information

BUCKMAN ENRICHMENT HOME is an assisted living facility in Senatobia, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BUCKMAN ENRICHMENT HOME NPI is 1942636998. The provider is registered as an organization entity type.

The provider's business location address is:

3297 HIGHWAY 51 S
SENATOBIA, MS
ZIP 38668-926
Phone: (662) 562-0100

The provider's authorized official is Parke Daniel Pepper .
The authorized official title is Executive Director and has the following contact phone number (662) 366-6920.

The CLIA number assigned to this NPI record is 25D2194323 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 3/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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