Organization · Type 2 NPI
Sycamore Run, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Keyser, WV
Practice location
RR 2 Box 215A
Keyser, WV 26726-9230
Fax (304) 298-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 145 (WV) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1073737706
Sycamore Run, LLC's National Provider Identifier is 1073737706, issued on Apr 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Keyser, WV. The record was last updated on Aug 22, 2020.