OrganizationActive
Lincoln Trail Area Development District
NPI 1104971357 · Supports Brokerage Agency · Elizabethtown, KY
Provider details
- NPI number
- 1104971357
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Daniel London, Executive Director(270) 769-2393
Specialties & taxonomies
Agencies
Practice location
750 S Provident Way
Elizabethtown, KY 42701-5956
Phone: (270) 769-2393
Fax: (270) 769-2993
Approximate (ZIP-level) locationGet directions
Mailing address
750 S Provident Way
Elizabethtown, KY 42701-5956
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.