| Lake Cumberland Community Action Agency, Inc. | |
|
9321 Russell Springs Rd Russell Springs KY 42642-7713 | |
| (270) 343-4600 | |
| Not Available |
| Full Name | Lake Cumberland Community Action Agency, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 9321 Russell Springs Rd, Russell Springs, Kentucky |
| Authorized Official Name and Position | Beth Davenport (FINANCE DIRECTOR) |
| Authorized Official Contact | 2703434600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Cumberland Community Action Agency, Inc. Po Box 830 Jamestown KY 42629-0830 Ph: (270) 343-4600 | Lake Cumberland Community Action Agency, Inc. 9321 Russell Springs Rd Russell Springs KY 42642-7713 Ph: (270) 343-4600 |
| NPI Number | 1386325447 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386325447 | NPI | - | NPPES |
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