Organization
BLUEGRASS SERVICES OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TOLLIVER OWNER (PESIDENT/CEO)
(502) 428-6361
Entity
Organization
Contact information
Practice address
176 LYNNWOOD DR, MT WASHINGTON, KY 40047-7055
(502) 428-6361
Mailing address
176 LYNNWOOD DR, MT WASHINGTON, KY 40047-7055
(502) 428-6361
(502) 428-6361
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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