NPI 1265610828

Buckhorn Lake Area Support Team, INC

Organisation Supports Brokerage Agency Bonnyman, KY

Practice location

Address: 5053 N Ky Highway 15, Bonnyman, KY 41719-8972
Phone: (606) 487-1050
Fax: (606) 487-1051

Authorised official

Name: Katrina J Bowling
Title: Owner/Business Manager
Phone: (606) 216-7438

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Kentucky →

Registry record

NPI: 1265610828
Entity type: Organization
NPI issued: 6 Feb 2008
Record last updated: 12 Jun 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.