Organization
BLUEGRASS OAKWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY NICOLE IDLEWINE (QIDP/COUNSELOR)
(606) 677-4068
Entity
Organization
Contact information
Practice address
2441 S HIGHWAY 27, SOMERSET, KY 42501-2935
(606) 677-4068
Mailing address
115 QUAIL RUN, SOMERSET, KY 42503-4851
(606) 425-7121
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
127180
KY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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