DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CEDAR LAKE LODGE/SYCAMORE RUN

Active Organization

ICF/Individuals with Intellectual Disabilities · LOUISVILLE, KY

Registration Details

NPI Number
1790232577
Provider Type
Organization
NPI Issued
Sep 8, 2016 (9.6188982158734 yrs)
Last Updated
Jan 31, 2022
Licenses
101246 (KY)
101247 (KY)

Practice Information

Address
9505 WILLIAMSBURG PLZ
STE 200
LOUISVILLE, KY, 402225082
Browse KY providers · Browse ZIP 40222
Phone
5024954953
Fax
5024253540

Other ICF/Individuals with Intellectual Disabilities Organizations in LOUISVILLE, KY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.