Organization
DISTRICT 4 CDO PROGRAM
Active
Other names
BARREN RIVER AREA AGENCY ON AGING
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GENE BECKER (INTERIM EXECUTIVE DIRECTOR)
(270) 781-2381
Entity
Organization
Contact information
Practice address
177 GRAHAM AVE, BOWLING GREEN, KY 42101-9175
(270) 781-2381
(270) 842-0768
Mailing address
PO BOX 90005, BOWLING GREEN, KY 42102-9005
(270) 781-2381
(270) 842-0768
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4399604000
—
KY
Enumeration date
02/27/2007
Last updated
08/22/2020
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