# SYCAMORE REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sycamore Services, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811025455
- **Authorized official:** MR. PATRICK COCKRUM (CEO)
- **Authorized official phone:** (317) 745-4715

## Contact information

- **Practice address:** 1717 W 86TH ST, SUITE 300, INDIANAPOLIS, IN 46260-2050
- **Practice address phone:** (317) 415-0334
- **Mailing address:** 1717 W 86TH ST, SUITE 300, INDIANAPOLIS, IN 46260-2050
- **Mailing address phone:** (317) 415-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020