Organization
ICARE HEALTH SYSTEMS LLC
Active
Other names
ICARE GROUP HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MAYNARD GEORGE (PRESIDENT)
(859) 312-7003
Entity
Organization
Contact information
Practice address
2993 POLO CLUB BLVD, LEXINGTON, KY 40509-8445
(859) 312-7003
Mailing address
PO BOX 522, STAFFORD, VA 22555-0522
(540) 300-1160
(877) 904-3069
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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