Organization · Type 2 NPI
District 4 Cdo Program
Supports Brokerage Agency · Bowling Green, KY
Practice location
177 Graham Ave
Bowling Green, KY 42101-9175
Fax (270) 842-0768
Mailing address
PO Box 90005
Bowling Green, KY 42102-9005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage Agency Primary | 251X00000X | None listed |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
3 other providers at this address
Other supports brokerage agency providers in Bowling Green
About NPI 1164559522
District 4 Cdo Program's National Provider Identifier is 1164559522, issued on Feb 27, 2007. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Bowling Green, KY. The record was last updated on Aug 22, 2020.