| NPI | 1962780635 |
|---|---|
| Doing Business As | SHANOAN SPRINGS RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | JAY H TRUMBO CFO 502-254-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2017-08-04 |