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Organization
LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC
Active
Organization
LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY WARNER NEWKIRK (EXECUTIVE DIRECTOR)
(502) 452-9089
Entity
Organization
Contact information
Practice address
8919 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
(502) 452-9089
(502) 495-7840
Mailing address
8919 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
(502) 452-9089
(502) 495-7840
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/18/2007
Last updated
07/23/2010
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