Organization
BLUE 02, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R LOGSDON CRT (PRESIDENT/CEO)
(859) 661-5239
Entity
Organization
Contact information
Practice address
322 E OFFICE ST, HARRODSBURG, KY 40330-1352
(859) 661-5239
Mailing address
322 E OFFICE ST, HARRODSBURG, KY 40330-1352
(859) 661-5239
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
03/20/2014
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