NPI 1760539902

Pennyrile Area Development District

Organisation Supports Brokerage Agency Hopkinsville, KY

Practice location

Address: 300 Hammond Dr, Hopkinsville, KY 42240-7952
Phone: (270) 886-9484
Fax: (270) 886-3211

Authorised official

Name: Dan Bozarth
Title: Executive Director
Phone: (270) 886-9484

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Kentucky →

Registry record

NPI: 1760539902
Entity type: Organization
NPI issued: 3 Jan 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.