NPI 1750010807

Snh Indy Tenant LLC

Organisation Assisted Living Facility La Porte, IN

Practice location

Address: 1211 Longwood Dr, La Porte, IN 46350-4700
Phone: (219) 362-6600
Fax: (219) 362-6611

Authorised official

Name: Richard W. Siedel
Title: Cfo & Treasurer
Phone: (617) 796-8350

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1750010807
Entity type: Organization
NPI issued: 6 Jun 2022
Record last updated: 6 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.