Healthcare Provider Details

I. General information

NPI: 1417711359
Provider Name (Legal Business Name): BUCKEYE BEST COMMUNITY DAY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024
Certification Date: 02/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 KARL CT
COLUMBUS OH
43229-3657
US

IV. Provider business mailing address

1675 KARL CT
COLUMBUS OH
43229-3657
US

V. Phone/Fax

Practice location:
  • Phone: 614-424-1425
  • Fax:
Mailing address:
  • Phone: 614-424-1425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MAHAMED ALI
Title or Position: OWNER
Credential:
Phone: 614-424-1425