# SHADY NOOK NURSING HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shady Nook Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437159134
- **Authorized official:** DANIEL MCMULLEN (ADMINISTRATOR)
- **Authorized official phone:** (812) 537-0930

## Contact information

- **Practice address:** 36 VALLEY DR, LAWRENCEBURG, IN 47025-1084
- **Practice address phone:** (812) 537-0930
- **Practice address fax:** (812) 537-0326
- **Mailing address:** 36 VALLEY DR, LAWRENCEBURG, IN 47025-1084
- **Mailing address phone:** (812) 537-0930
- **Mailing address fax:** (812) 537-0326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 08/22/2020