NPI 1780185181

Lake Cumberland Veterans Directed Services

Organisation Supports Brokerage Agency Russell Springs, KY

Practice location

Address: 2384 Lakeway Dr, Russell Springs, KY 42642-4509
Phone: (270) 866-4200
Mailing address: PO Box 1570, Russell Springs, KY 42642-1570

Authorised official

Name: Darryl McGaha
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: 1780185181
Entity type: Organization
NPI issued: 22 Feb 2018
Record last updated: 22 Feb 2018

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.