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
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17000316
—
KY
05
—
33000589
—
KY
Enumeration date
01/18/2007
Last updated
07/23/2010
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