Sycamore Run, LLC
NPI #1073737706 in Keyser, West Virginia
Provider Information
- NPI Number
- 1073737706
- Entity Type
- Organization
- Organization Name
- Sycamore Run, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- RR 2 BOX 215A
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-9230
- Phone
- (304) 298-3262
Authorized Official
- Name
- MRS. BRENDA DIANE HARDEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (304) 298-3262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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