Organization
DESTINY ADULT DAY TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIECE D COBB BS (EXECUTIVE DIRECTOR)
(270) 495-1609
Entity
Organization
Contact information
Practice address
1043 PEDIGO WAY STE 5, BOWLING GREEN, KY 42103-7197
(270) 438-0627
Mailing address
701 DISHMAN LANE EXT STE 3, BOWLING GREEN, KY 42104-4033
(270) 202-3595
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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