Organization
BLUEGRASS ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERRILL KING (OWNER/CEO)
(606) 269-4729
Entity
Organization
Contact information
Practice address
2317 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2834
(606) 269-4729
Mailing address
2317 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2834
(606) 269-4729
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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