NPI 1013720283

Colonial Manor I LLC

Organisation Assisted Living Facility (Mental Illness) Shelbyville, KY

Practice location

Address: 920 Henry Clay St, Shelbyville, KY 40065-1333
Phone: (516) 708-3503
Mailing address: 455 Central Ave STE 215, Cedarhurst, NY 11516-2008

Authorised official

Name: Raquel Edery
Title: Coo
Phone: (516) 708-3503

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Other Assisted Living Facility providers in Kentucky →

Registry record

NPI: 1013720283
Entity type: Organization
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.