| Organization Name: | INDEPENDENCE ASSISTANCE SERVICES OF THE BLUEGRASS |
| NPI Number: | 1659778819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLELLAND R GASH (COO) |
| Mailing Address: | 343 Waller Ave Suite 309 Lexington |
| State: | KY US |
| Postal Code: | 405042912 |
| Phone Number: | 8593034040 |
| Fax Number: | 8593179924 |
| NPI Enumeration Date: | 12/03/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 500194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |