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Organization
SHADY LAWN LLC
Active
Organization
SHADY LAWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI LYNN BAILEY (OWNER/ADMINISTRATOR)
(859) 234-2606
Entity
Organization
Contact information
Practice address
108 SOUTH MILLER STREET, CYNTHIANAN, KY 41031
(859) 234-2606
(859) 234-6684
Mailing address
108 SOUTH MILLER STREET, CYNTHIANA, KY 41031
(859) 234-2606
(859) 234-6684
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
100170
KY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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