Organization
SHADY NOOK NURSING HOME, INC
Active
Other names
Shady Nook Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCMULLEN (ADMINISTRATOR)
(812) 537-0930
Entity
Organization
Contact information
Practice address
36 VALLEY DR, LAWRENCEBURG, IN 47025-1084
(812) 537-0930
(812) 537-0326
Mailing address
36 VALLEY DR, LAWRENCEBURG, IN 47025-1084
(812) 537-0930
(812) 537-0326
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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