Provider Demographics
NPI:1881259836
Name:RONALD MCDONALD HOUSE CHARITIES OF THE BLUEGRASS, INC.
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF THE BLUEGRASS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-266-8683
Mailing Address - Street 1:PO BOX 22414
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40522-2414
Mailing Address - Country:US
Mailing Address - Phone:859-268-0747
Mailing Address - Fax:859-266-6771
Practice Address - Street 1:1300 SPORTS CENTER DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2300
Practice Address - Country:US
Practice Address - Phone:859-268-0747
Practice Address - Fax:859-266-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging