Dungarvin Kentucky, LLC - Bowling Green
Organization Active NPI Developmentally Disabled Services Day Training Agency · Bowling Green, KY
NPI 1164030342 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1164030342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- DUNGARVIN KENTUCKY, LLC - BOWLING GREEN
- Practice address
- 1830 Destiny LN Ste 118
Bowling Green, KY 42104-1089 - Phone
- (270) 746-0830
- 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
National Provider Directory
- Tax ID family
- Dungarvin Kentucky LLC - Benton
Locations
980 Morgantown Rd
Bowling Green, KY 42101
Phone (270) 495-1312
1830 Destiny Ln
Ste 118
Bowling Green, KY 42104
Phone (270) 746-0830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
1830 Destiny LN Ste 118
Bowling Green, KY 42104-1089
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Phone (651) 699-0206
Other providers in Bowling Green, KY
- David C Duncan
- Jill K Duncan
- Taylor Duncan
- Traniece Duncan
- Valorie Duncan
- Ashley Dunn
- Destiny Dunn
- Joshua Quinn Dunn
- Meca Ann Dunn
- Katherine Huber Durnen
All providers in Bowling Green, KY · Developmentally Disabled Services Day Training Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.