Organization
BRIGHT LIFE FARMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA KNOTH ROBERTSON (EXECUTIVE DIRECTOR)
(270) 388-6101
Entity
Organization
Contact information
Practice address
10200 FARMERSVILLE RD, PRINCETON, KY 42445-5340
(270) 365-0830
(270) 365-0830
Mailing address
6773 US HIGHWAY 62 W, KUTTAWA, KY 42055-5607
(270) 388-6101
(270) 388-6101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
850066
KY
174400000X
Specialist
Primary
850070
KY
174400000X
Specialist
850082
KY
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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