Organization
EDGEMONT MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA DUFFY (ADMINISTRATOR)
(859) 234-4595
Entity
Organization
Contact information
Practice address
323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
(859) 234-4595
Mailing address
323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
(859) 234-4595
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100166
KY
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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