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Organization

BLUEGRASS FAMILY AGENCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADFORD HALL CPA (PRESIDENT)
(606) 259-5159
Entity
Organization

Contact information

Practice address
704 SPRADLIN BR, PRESTONSBURG, KY 41653-1840
(606) 259-5159
Mailing address
704 SPRADLIN BR, PRESTONSBURG, KY 41653-1840
(606) 259-5159

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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