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Sycamore Run, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Keyser, West Virginia
NPI 1073737706

Sycamore Run, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Keyser, WV. Sycamore Run, Llc practices in Keyser, WV. The NPI Number for Sycamore Run, Llc is 1073737706 and holds a License No. 145 (West Virginia).

The current practice location address for Sycamore Run, Llc is Rr 2 Box 215A, Keyser, WV and can be reached out via phone at 304-298-3262 and via fax at 304-298-4100.

Location: Rr 2 Box 215A, Keyser, WV, 26726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073737706
Provider Name
Sycamore Run, Llc
Credential
Provider Entity Type
Organization
Address
Rr 2 Box 215A, Keyser, WV, 26726
Phone Number
304-298-3262
Fax Number
304-298-4100
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3500002000 05 WV
institution
Provider Business Practice Location Address Details
Address
Rr 2 Box 215A
City
Keyser
State
West Virginia
Zip
26726-9230
Phone Number
304-298-3262
Fax Number
304-298-4100
person
Provider Business Mailing Address Details
Address
Rr 2 Box 215A
City
Keyser
State
West Virginia
Zip
26726-9230
Phone Number
304-298-3262
Fax Number
304-298-4100
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
145 (West Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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