Organization
BUFFALO TRACE AREA DEVELOPMENT DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE CLARKE ULLERY (DIRECTOR OF AGING SERVICES)
(606) 564-6894
Entity
Organization
Contact information
Practice address
201 GOVERNMENT ST, SUITE 300, MAYSVILLE, KY 41056-1260
(606) 564-6894
(606) 564-0955
Mailing address
201 GOVERNMENT ST, SUITE 300, MAYSVILLE, KY 41056-1260
(606) 564-6894
(606) 564-0955
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33001413
—
KY
Enumeration date
05/14/2007
Last updated
08/22/2020
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