Bluemoon Equine Facility Inc | |
4104 Oakley Pebble Rd Owingsville KY 40360-9230 | |
(606) 336-4295 | |
Not Available |
Full Name | Bluemoon Equine Facility Inc |
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Speciality | Community/behavioral Health |
Location | 4104 Oakley Pebble Rd, Owingsville, Kentucky |
Authorized Official Name and Position | Cheyenna Carpenter (DIRECTOR/FOUNDER) |
Authorized Official Contact | 6063364295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluemoon Equine Facility Inc 4104 Oakley Pebble Rd Owingsville KY 40360-9230 Ph: (606) 336-4295 | Bluemoon Equine Facility Inc 4104 Oakley Pebble Rd Owingsville KY 40360-9230 Ph: (606) 336-4295 |
NPI Number | 1043895899 |
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Provider Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |
Certification Date | 03/12/2021 |
Identifier | Type | State | Issuer |
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1043895899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |