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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