NPI 1689727224

Louisville Independent Case Management, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Louisville, KY

Practice location

Address: 8919 Stone Green Way, Louisville, KY 40220-4073
Phone: (502) 452-9089
Fax: (502) 495-7840

Authorised official

Name: Amy Warner Newkirk
Title: Executive Director
Phone: (502) 452-9089

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Registry record

NPI: 1689727224
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 23 Jul 2010

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.