Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Active
Other names
Green Co. Intermediate School
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN D CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
401 E HODGENVILLE AVE, GREENSBURG, KY 42743-1343
(270) 932-2743
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
10/01/2010
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