Organization · Type 2 NPI
Louisville Independent Case Management, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Louisville, KY
Practice location
8919 Stone Green Way
Louisville, KY 40220-4073
Fax (502) 495-7840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1689727224
Louisville Independent Case Management, LLC's National Provider Identifier is 1689727224, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Louisville, KY. The record was last updated on Jul 23, 2010.