Organization
BLU WELL OF KENTUCKY LLC
Active
Organization
BLU WELL OF KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHERA BROWN (EXECUTIVE DIRECTOR)
(502) 608-8959
Entity
Organization
Contact information
Practice address
9408 JO CT, LOUISVILLE, KY 40299-1192
(502) 608-8959
Mailing address
9408 JO CT, LOUISVILLE, KY 40299-1192
(502) 608-8959
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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