District 4 Cdo Program
Supports Brokerage in Bowling Green, KY. Organization (NPI-2).
NPI number1255468617
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1255468617
- Entity type
- Organization (NPI-2)
- Legal business name
- District 4 Cdo Program
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage | – | – | Yes |
Other names
- Barren River Area Agency On Aging (Other Name)
Practice location
177 Graham AveBowling Green, KY 42101-9175
Phone 270-781-2381 · Fax 270-842-0768
Mailing address
Po Box 90005Bowling Green, KY 42102-9005
Phone 270-781-2381 · Fax 270-842-0768
Authorized official
Ronald Gene Becker
Interim Executive Director
2707812381
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