Provider Demographics
NPI:1598881575
Name:BLUEGRASS AREA DEVELOPMENT DISTRICT
Entity Type:Organization
Organization Name:BLUEGRASS AREA DEVELOPMENT DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CDO FINANCIAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-269-8021
Mailing Address - Street 1:699 PERIMETER DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4287
Mailing Address - Country:US
Mailing Address - Phone:859-269-8021
Mailing Address - Fax:
Practice Address - Street 1:699 PERIMETER DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4287
Practice Address - Country:US
Practice Address - Phone:859-269-8021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY171M00000XMedicaid
KY33001496Medicaid