| Organization Name: | SHUFFETT'S ADULT DAY CARE, INC. |
| NPI Number: | 1861835498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCIA MCDONALD SHUFFETT (DIRECTOR) |
| Mailing Address: | 104 Hill St Edmonton |
| State: | KY US |
| Postal Code: | 421299412 |
| Phone Number: | 2704323851 |
| Fax Number: | 2704325673 |
| NPI Enumeration Date: | 04/13/2013 |
| NPI Last Update Date: | 04/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 750111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |