Organization
BUFFALO TRACE AREA DEVELOPMENT DISTRICT
Active
Other names
Buffalo Trace Area Agency on Aging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE CLARKE ULLERY (DIRECTOR OF AGING SERVICES)
(606) 564-6894
Entity
Organization
Contact information
Practice address
201 GOVERNMENT ST, SUITE 300, MAYSVILLE, KY 41056-1260
(606) 564-6894
(606) 564-0955
Mailing address
PO BOX 460, MAYSVILLE, KY 41056-0460
(606) 564-6894
(606) 564-0955
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700079500
—
KY
05
—
33001413
—
KY
05
—
43996081
—
KY
Enumeration date
02/15/2007
Last updated
08/22/2020
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