Whalio Doctors

NPI 1184836272

Bluegrass Community Living, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Georgetown, KY

Practice location

Address
107 Broadbill Court, Georgetown, KY 40324-9294
Phone
(502) 570-9269

Authorised official

Name
Derran C. Broyles
Title
Chief of Financial Affairs
Phone
(502) 570-9269

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1184836272
Entity type
Organization
NPI issued
3 May 2007
Record last updated
1 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.