Organization
BLUEGRASS TECHNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SUE SHARON (ACTING EXECUTIVE DIRECTOR)
(859) 294-4343
Entity
Organization
Contact information
Practice address
409 SOUTHLAND DRIVE, LEXINGTON, KY 40503-1826
(859) 294-4343
Mailing address
409 SOUTHLAND DRIVE, LEXINGTON, KY 40503-1826
(859) 294-4343
(859) 402-0950
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/06/2008
Last updated
08/05/2011
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