# BRIGHT LIFE FARMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841611464
- **Authorized official:** MRS. ROBERTA KNOTH ROBERTSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (270) 388-6101

## Contact information

- **Practice address:** 10200 FARMERSVILLE RD, PRINCETON, KY 42445-5340
- **Practice address phone:** (270) 365-0830
- **Practice address fax:** (270) 365-0830
- **Mailing address:** 6773 US HIGHWAY 62 W, KUTTAWA, KY 42055-5607
- **Mailing address phone:** (270) 388-6101
- **Mailing address fax:** (270) 388-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 850066 | KY | — |
| 174400000X | Specialist | 850070 | KY | Yes |
| 174400000X | Specialist | 850082 | KY | — |

## Other

- **Enumeration date:** 12/27/2013
- **Last updated:** 12/27/2013