Organization
LUCASACAREBG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELBERT E. LUCAS (MEMBER)
(270) 535-1931
Entity
Organization
Contact information
Practice address
639 SHERWOOD DR, BOWLING GREEN, KY 42103-1417
(270) 535-1931
Mailing address
639 SHERWOOD DR, BOWLING GREEN, KY 42103-1417
(270) 535-1931
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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