Organization
COMMUNITY ACTION OF SOUTHERN KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL H. ALLEN (EXECUTIVE DIRECTOR)
(270) 782-3162
Entity
Organization
Contact information
Practice address
921 BEAUTY AVE, BOWLING GREEN, KY 42102-9014
(270) 782-3162
(270) 842-5735
Mailing address
921 BEAUTY AVE, (P.O. BOX 90014), BOWLING GREEN, KY 42101-6135
(270) 782-3162
(270) 842-5735
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600199300
—
KY
Enumeration date
11/30/2007
Last updated
11/30/2007
Update your record
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