1790232577 CEDAR LAKE LODGE/SYCAMORE RUN
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- CEDAR LAKE LODGE/SYCAMORE RUN
- Enumeration Date
- September 8, 2016
- Last Update
- January 31, 2022
- Authorized Official
- MS. COURTNEY ELAINE GRIMES
REIMBURSEMENT SPECIALIST
Phone: (502) 495-4953
Practice Location
- Address
- 9505 WILLIAMSBURG PLZ
STE 200
LOUISVILLE, KY 402225082 - Phone
- (502) 495-4953
- Fax
- (502) 425-3540
Mailing Address
- Address
- 9505 WILLIAMSBURG PLZ
STE 200
LOUISVILLE, KY 402225082 - Phone
- (502) 495-4953
- Fax
- (502) 425-3540
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | Intermediate Care Facility, Mental Illness | 101246 | KY | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 101247 | KY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101246 | 05 | KY | N/A |
| 101247 | 05 | KY | N/A |
Frequently Asked Questions
What is CEDAR LAKE LODGE/SYCAMORE RUN's NPI number?
CEDAR LAKE LODGE/SYCAMORE RUN's NPI number is 1790232577.
Which doctor has NPI number 1790232577?
The doctor with NPI number 1790232577 is CEDAR LAKE LODGE/SYCAMORE RUN.
What is CEDAR LAKE LODGE/SYCAMORE RUN's practice address?
CEDAR LAKE LODGE/SYCAMORE RUN's practice address is 9505 WILLIAMSBURG PLZ, STE 200, LOUISVILLE, KY, 402225082.
Which doctor practices at 9505 WILLIAMSBURG PLZ, STE 200, LOUISVILLE, KY, 402225082?
CEDAR LAKE LODGE/SYCAMORE RUN practices at 9505 WILLIAMSBURG PLZ, STE 200, LOUISVILLE, KY, 402225082.
What is CEDAR LAKE LODGE/SYCAMORE RUN's phone number?
CEDAR LAKE LODGE/SYCAMORE RUN's phone number is (502) 495-4953.
Who is (502) 495-4953?
(502) 495-4953 is the phone number for CEDAR LAKE LODGE/SYCAMORE RUN.
What is CEDAR LAKE LODGE/SYCAMORE RUN's specialty?
CEDAR LAKE LODGE/SYCAMORE RUN's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is CEDAR LAKE LODGE/SYCAMORE RUN?
CEDAR LAKE LODGE/SYCAMORE RUN is a Intellectual Disabilities Intermediate Care Facility.
Is CEDAR LAKE LODGE/SYCAMORE RUN a Intermediate Care Facility, Intellectual Disabilities?
Yes, CEDAR LAKE LODGE/SYCAMORE RUN is a Intermediate Care Facility, Intellectual Disabilities.
Is CEDAR LAKE LODGE/SYCAMORE RUN still practicing?
Yes, CEDAR LAKE LODGE/SYCAMORE RUN is currently practicing.
Is CEDAR LAKE LODGE/SYCAMORE RUN accepting new patients?
CEDAR LAKE LODGE/SYCAMORE RUN may be accepting new patients. Please call their office at (502) 495-4953 to inquire about availability.
Is NPI 1790232577 still active?
Yes, NPI 1790232577 is currently active.
Where does CEDAR LAKE LODGE/SYCAMORE RUN practice?
CEDAR LAKE LODGE/SYCAMORE RUN practices in LOUISVILLE, KY.