Organization
HOSPICE OF LAKE CUMBERLAND, INC.
Active
Organization
HOSPICE OF LAKE CUMBERLAND, INC.
Active
Other names
Hospice of Lake Cumberland, Palliative Care of Lake Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J DAVIS (DIRECTOR OF OPERATIONS)
(606) 679-4389
Entity
Organization
Contact information
Practice address
100 PARKWAY DR, SOMERSET, KY 42503-3450
(606) 679-4389
(606) 679-2971
Mailing address
100 PARKWAY DRIVE, SOMERSET, KY 42503
(606) 679-4389
(606) 679-2971
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
KY
251G00000X
Community Based Hospice Care Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44100014
—
KY
Enumeration date
09/05/2006
Last updated
06/16/2018
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