NPI 1265571095

Lake Cumberland Area Development District

Organisation Supports Brokerage Agency Russell Springs, KY

Practice location

Address: 2374 Lakeway Drive, Russell Springs, KY 42642
Phone: (270) 866-4200
Fax: (270) 866-4212
Mailing address: PO Box 1570, Russell Springs, KY 42642-1570

Authorised official

Name: Donna Diaz
Title: Executive Director
Phone: (270) 866-4200

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Kentucky →

Registry record

NPI: 1265571095
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 22 Aug 2020

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.