Organization · Type 2 NPI

Colonial Manor I LLC

Assisted Living Facility (Mental Illness) · Shelbyville, KY

NPI number 1013720283 Active

Practice location

920 Henry Clay St
Shelbyville, KY 40065-1333

Mailing address

455 Central Ave Ste 215
Cedarhurst, NY 11516-2008

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone 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.