NPI 1003033085

Green River Area Development District

Organisation Supports Brokerage Agency Owensboro, KY

Practice location

Address: 300 Gradd Way, Owensboro, KY 42301-8696
Phone: (270) 926-4433
Fax: (270) 684-0714

Authorised official

Name: Jiten Shah
Title: Executive Director
Phone: (270) 926-4433

Registered specialties (3)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Registry record

NPI: 1003033085
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.