NPI 1073737706

Sycamore Run, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Keyser, WV

Practice location

Address: Rr 2 Box 215a, Keyser, WV 26726-9230
Phone: (304) 298-3262
Fax: (304) 298-4100
Mailing address: Rr 2 Box 215a, Keyser, WV 26726

Authorised official

Name: Brenda Diane Harden
Title: Executive Director
Phone: (304) 298-3262

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 145 (WV)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in West Virginia →

Registry record

NPI: 1073737706
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.