Provider Demographics
NPI:1821193079
Name:CHILD DEVELOPMENT CENTERS OF THE BLUEGRASS, INC
Entity Type:Organization
Organization Name:CHILD DEVELOPMENT CENTERS OF THE BLUEGRASS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-278-0549
Mailing Address - Street 1:465 SPRINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1233
Mailing Address - Country:US
Mailing Address - Phone:859-278-0549
Mailing Address - Fax:859-277-0807
Practice Address - Street 1:465 SPRINGHILL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1233
Practice Address - Country:US
Practice Address - Phone:859-278-0549
Practice Address - Fax:859-277-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable