Organization
PENNYRILE AREA DEVELPOMENT DISTRICT
Active
Other names
Pennyrile Area Agency on Aging
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BOZARTH (EXECUTIVE DIRECTOR)
(270) 886-9484
Entity
Organization
Contact information
Practice address
300 HAMMOND DR, HOPKINSVILLE, KY 42240-7952
(270) 886-9484
Mailing address
300 HAMMOND DR, HOPKINSVILLE, KY 42240-7952
(270) 886-9484
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43996024
HCBW
KY
Enumeration date
01/31/2007
Last updated
08/22/2020
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