NPI 1568508190

Cedar Lake Lodge, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Louisville, KY

Practice location

Address: 9505 Williamsburg Plz STE 200, Louisville, KY 40222-5089
Phone: (502) 265-8389
Fax: (502) 425-3540

Authorised official

Name: Courtney E Grimes
Title: Program Billing & Reimb Supervisor
Phone: (025) 265-8389

Registered specialties (6)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 100450 (KY)

Other Intermediate Care Facility, Intellectual Disabilities providers in Kentucky →

Mental Illness Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 101120 (KY)

Other Intermediate Care Facility, Mental Illness providers in Kentucky →

Nursing Facility/Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 101119 (KY)

Other Nursing Facility/Intermediate Care Facility providers in Kentucky →

Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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

Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

Other Respite Care providers in Kentucky →

Registry record

NPI: 1568508190
Entity type: Organization
NPI issued: 30 Jan 2007
Record last updated: 21 Dec 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.