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Organization
LAKE CUMBERLAND AREA DEVELOPMENT DISTRICT
Active
Organization
LAKE CUMBERLAND AREA DEVELOPMENT DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DIAZ (EXECUTIVE DIRECTOR)
(270) 866-4200
Entity
Organization
Contact information
Practice address
2374 LAKEWAY DRIVE, RUSSELL SPRINGS, KY 42642
(270) 866-4200
(270) 866-4212
Mailing address
PO BOX 1570, RUSSELL SPRINGS, KY 42642-1570
(270) 866-4200
(270) 866-4212
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300148800
—
KY
Enumeration date
02/07/2007
Last updated
10/30/2015
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