NPI 1386875656

Parkside Manor LLC

Organisation Custodial Care Facility Cynthiana, KY

Practice location

Address: 317 Oddville Avenue Suite B, Cynthiana, KY 41031
Phone: (859) 234-4430
Fax: (859) 234-4438

Authorised official

Name: Kelli Lynn Bailey
Title: Owner/Administrator
Phone: (859) 234-4430

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 100168 (KY)

Other Custodial Care Facility providers in Kentucky →

Registry record

NPI: 1386875656
Entity type: Organization
NPI issued: 4 Aug 2009
Record last updated: 4 Aug 2009

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.