Cedar Lake Lodge/Sycamore Run
Cedar Lake Lodge/Sycamore Run is a Mental Illness Intermediate Care Facility in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.
- Licensed in
- KY
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
9505 Williamsburg Plz Ste 200Louisville, KY 40222-5082
Phone: (502) 495-4953
Fax: (502) 425-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 101247 (KY) |
|---|---|
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X · Licence 101246 (KY) |
Record details
| NPI number | 1790232577 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Courtney Grimes — Reimbursement Specialist · (502) 495-4953 |
| NPI enumerated | September 8, 2016 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
| Mailing address | 9505 Williamsburg Plz, Ste 200, Louisville, KY 40222-5082 |
Other providers in Louisville
-
Cedar Lake Lodge, Inc
9505 Williamsburg Plz Ste 200, Louisville, KY 40222-5089 · (502) 265-8389
-
New Mercy Homes
6822 Beckingham Blvd, Louisville, KY 40299-5881 · (573) 355-1213