Organization · Type 2 NPI
Colonial Manor I LLC
Assisted Living Facility (Mental Illness) · Shelbyville, KY
Practice location
920 Henry Clay St
Shelbyville, KY 40065-1333
Mailing address
455 Central Ave Ste 215
Cedarhurst, NY 11516-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1013720283
Colonial Manor I LLC's National Provider Identifier is 1013720283, issued on Jan 30, 2025. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Shelbyville, KY. The record was last updated on Jan 30, 2025.