Sycamore Run, Llc

LBN: Sycamore Run, Llc
Sycamore Run, Llc is an health care organization with primary practice located at Rr 2 Box 215A , Keyser WV 26726-9230. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Sycamore Run, Llc can be contacted via phone (304) 298-3262, or through Harden, Brenda Diane via phone (304) 298-3262.

Contact Information

Primary practice address
Rr 2 Box 215A Keyser WV 26726-9230
Phone: (304) 298-3262
Fax: (304) 298-4100
Website:
Map and Directions
Authorized official contact:
Name: Harden, Brenda Diane
Phone: (304) 298-3262

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 145 West Virginia

Profile Details

NPI number 1073737706
LBN Legal business name Sycamore Run, Llc
DBA Doing business as
Authorized official Harden, Brenda Diane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073737706 NPPES
West Virginia MEDICAID 3500002000

Popular Providers