Dungarvin Kentucky, LLC - Benton

Organization Active NPI Developmentally Disabled Services Day Training Agency · Benton, KY

NPI 1164030334 · NPPES record last updated Apr 27, 2023

Key facts

NPI
1164030334
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
DUNGARVIN KENTUCKY, LLC - BENTON
Practice address
102 Caky Dr
Benton, KY 42025-7592
Phone
(270) 527-2255
NPI assigned
Jul 14, 2020
Organization subpart
Yes
Parent organization (as reported)
DUNGARVIN GROUP, INC.

Authorized official

Name
Lori Kress
Title
Ceo
Phone
(651) 699-0206

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dungarvin Kentucky LLC - Benton (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

102 Caky Dr
Benton, KY 42025-7592

Mailing address

1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Phone (651) 699-0206

Other providers in Benton, KY

All providers in Benton, KY · Developmentally Disabled Services Day Training Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.