NPI 1780233973
Snh Derby Tenant LLC
Practice location
- Address
- 4190 Lafayette Rd, Hopkinsville, KY 42240-5366
- Phone
- (270) 885-0220
- Fax
- (270) 887-6319
- Mailing address
- 255 Washington St STE 300, Newton, MA 02458-1634
Authorised official
- Name
- Jennifer F. Mintzer
- Title
- President & Chief Operating Officer
- Phone
- (617) 796-8350
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1780233973
- Entity type
- Organization
- NPI issued
- 10 Sep 2019
- Record last updated
- 4 May 2020
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.