NPI 1922811181

Shady Lawn I LLC

Organisation Assisted Living Facility (Mental Illness) Cynthiana, KY

Practice location

Address: 108 S Miller St, Cynthiana, KY 41031-1601
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

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Registry record

NPI: 1922811181
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.