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Organization
HOSPICE OF THE BLUEGRASS, INC
Active
Organization
HOSPICE OF THE BLUEGRASS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY SHRIVER HODGE (VP FINANCE, CFO)
(859) 276-5344
Entity
Organization
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3667
(859) 276-5344
(859) 296-4101
Mailing address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3667
(859) 276-5344
(859) 296-4101
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
41461
KY
251J00000X
Nursing Care Agency
—
KY
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013054626
NPI
KY
05
—
65928418
—
KY
05
—
7100298800
—
KY
Enumeration date
04/23/2010
Last updated
04/21/2020
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