# LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689727224
- **Authorized official:** MRS. AMY WARNER NEWKIRK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (502) 452-9089

## Contact information

- **Practice address:** 8919 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
- **Practice address phone:** (502) 452-9089
- **Practice address fax:** (502) 495-7840
- **Mailing address:** 8919 STONE GREEN WAY, LOUISVILLE, KY 40220-4073
- **Mailing address phone:** (502) 452-9089
- **Mailing address fax:** (502) 495-7840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 07/23/2010