Lake Cumberland Area Development District

NPI 1265571095 - Supports Brokerage - 251X00000X

NPI Details
NPI 1265571095
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONNA DONNA
Position EXECUTIVE DIRECTOR
Phone (270) 866-4200
Fax (270) 866-4212
Practice Location
2374 LAKEWAY DRIVE
RUSSELL SPRINGS KY, 42642, US
Phone (270) 866-4200
Fax (270) 866-4212
Business Location
PO BOX 1570
RUSSELL SPRINGS KY, 42642-1570, US
Phone (270) 866-4200
Fax (270) 866-4212
Toxanomy
Taxonomy Code 251X00000X
License State
License Number
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According to our database, Lake Cumberland Area Development District NPI is 1265571095, taxonomy code is 251X00000X Lake Cumberland Area Development District physically located at 2374 Lakeway Drive, Russell Springs KY, 42642. NPI Number 1033115704 has the healthcare provider type.

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1265571095 NPI number is provided on an as is basis without warranty of any kind. 1265571095 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Cumberland Area Development District are for informational purposes only.