DISTRICT 4 CDO PROGRAM

Supports Brokerage

Active Organization
NPI: 1588702294

Practice Address

177 GRAHAM AVE
Bowling Green, KY 42101

Phone: (270) 781-2381

Specialties

Specialty Code Primary License
Supports Brokerage 251X00000X Yes -

Frequently Asked Questions

NPI 1588702294 is the National Provider Identifier for DISTRICT 4 CDO PROGRAM, a Supports Brokerage provider located in Bowling Green, KY. This NPI was enumerated on February 2, 2007.

Quick Facts

NPI
1588702294
Type
Organization
Enumerated
Feb 2, 2007
Last Updated
Aug 22, 2020

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