Organization
PENNYRILE AREA DEVELOPMENT DISTRICT
Active
Parent organization
PENNYRILE AREA DEVELOPMENT DISTRICT
Other names
Veterans Directed Care Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNYRILE AREA DEVELOPMENT DISTRICT
Authorized official
MR. JASON VINCENT (EXECUTIVE DIRECTOR)
(270) 886-9484
Entity
Organization
Contact information
Practice address
300 HAMMOND DR, HOPKINSVILLE, KY 42240-7952
(270) 886-9484
(270) 886-3211
Mailing address
300 HAMMOND DR, HOPKINSVILLE, KY 42240-7952
(270) 886-9484
(270) 886-3211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073650644
—
KY
05
—
1437296167
—
KY
05
—
1982741559
—
KY
Enumeration date
09/09/2015
Last updated
09/09/2015
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