Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X |
| NPI Number | 1336591510 |
| LBN Legal business name | LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC. |
| Authorized official | ALICIA POLSTON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/12/2016 |
| Last updated | 07/12/2016 - About 10 years ago |
| Identifiers | n/a |
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