Organization
BLUEGRASS ELITE HEALTHCARE, INC.
Active
Other names
Allied Family Care Clinic, Allied Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX CAIN MOORE CEO (CEO / DIRECTOR OF MISSIONS)
(606) 471-9423
Entity
Organization
Contact information
Practice address
3453 KY HWY 2565, LOUISA, KY 41230-5005
(606) 291-7011
(606) 483-8080
Mailing address
PO BOX 3, LOUISA, KY 41230-0003
(606) 291-7011
(866) 948-3657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
12/27/2022
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