| NPI | 1720563034 |
|---|---|
| Doing Business As | SHADY LAWN NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MOSHE KELMAN Managing Member 270-522-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2022-09-01 |