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Organization

BLUEMOON EQUINE FACILITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHEYENNA CARPENTER (DIRECTOR/FOUNDER)
(606) 336-4295
Entity
Organization

Contact information

Practice address
4104 OAKLEY PEBBLE RD, OWINGSVILLE, KY 40360-9230
(606) 336-4295
Mailing address
4104 OAKLEY PEBBLE RD, OWINGSVILLE, KY 40360-9230
(606) 336-4295

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/12/2021
Last updated
03/12/2021
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