Shady Lawn LLC
NPI #1467683730 in Cynthianan, Kentucky
Provider Information
- NPI Number
- 1467683730
- Entity Type
- Organization
- Organization Name
- Shady Lawn LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Aug 4, 2009
- Last Updated
- Aug 4, 2009
Practice Location
- Address
- 108 SOUTH MILLER STREET
- City
- Cynthianan
- State
- Kentucky
- ZIP Code
- 41031
- Phone
- (859) 234-2606
Authorized Official
- Name
- MRS. KELLI LYNN BAILEY
- Title
- OWNER/ADMINISTRATOR
- Phone
- (859) 234-2606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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