Organization
BLUEGRASS PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA FULKERSON FOLCZYK OTR/L (PRESIDENT)
(859) 539-2844
Entity
Organization
Contact information
Practice address
856 HENDERSON DR, LEXINGTON, KY 40515-6464
(859) 539-2844
(859) 272-7311
Mailing address
856 HENDERSON DR, LEXINGTON, KY 40515-6464
(859) 539-2844
(859) 272-7311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FIRST STEPS
FIRST STEPS
KY
Enumeration date
04/09/2009
Last updated
04/09/2009
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