OrganizationActive
Lake Cumberland Area Development District
NPI 1265571095 · Supports Brokerage Agency · Russell Springs, KY
Provider details
- NPI number
- 1265571095
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donna Diaz, Executive Director(270) 866-4200
Specialties & taxonomies
Agencies
Practice location
2374 Lakeway Drive
Russell Springs, KY 42642
Phone: (270) 866-4200
Fax: (270) 866-4212
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1570
Russell Springs, KY 42642-1570
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.