Organization
BLUEGRASS COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY EILEEN TROYER (PRESIDENT)
(502) 867-7177
Entity
Organization
Contact information
Practice address
207 AUGUSTA DR, GEORGETOWN, KY 40324-9533
(502) 867-7177
(502) 867-7179
Mailing address
207 AUGUSTA DR, GEORGETOWN, KY 40324-9533
(502) 867-7177
(502) 867-7179
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000852
—
KY
Enumeration date
01/08/2007
Last updated
04/30/2008
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