NPI 1205267671

Assuredlink Case Management Agency

Organisation Private Vehicle Bowling Green, KY

Practice location

Address: 1990 Louisville Rd 101, Bowling Green, KY 42101-1202
Phone: (270) 599-0212

Authorised official

Name: Demetrius Depp King
Title: Owner/ Executive Director
Phone: (270) 303-4669

Registered specialties (3)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence K12245600 (KY)

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Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 171431 (KY)

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Case Management Agency

Agencies Taxonomy 251B00000X Licence 7100347620 (KY)

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Registry record

NPI: 1205267671
Entity type: Organization
NPI issued: 10 Dec 2013
Record last updated: 3 Mar 2017

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.