| Bluemoon Equine Facility Inc | |
|
4104 Oakley Pebble Rd Owingsville KY 40360-9230 | |
| (606) 336-4295 | |
| Not Available |
| Full Name | Bluemoon Equine Facility Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043895899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |