Lake Cumberland Veterans Directed Services
NPI #1780185181 in Russell Springs, Kentucky
Provider Information
- NPI Number
- 1780185181
- Entity Type
- Organization
- Organization Name
- Lake Cumberland Veterans Directed Services
- Primary Specialty
- Supports Brokerage
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Feb 22, 2018
Practice Location
- Address
- 2384 LAKEWAY DR
- City
- Russell Springs
- State
- Kentucky
- ZIP Code
- 42642-4509
- Phone
- (270) 866-4200
Authorized Official
- Name
- DARRYL MCGAHA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (270) 866-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Supports Brokerage |
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