NPI 1881243061

Snh Derby Tenant LLC

Organisation Assisted Living Facility Bowling Green, KY

Practice location

Address: 981 Campbell Ln, Bowling Green, KY 42104-4136
Phone: (270) 746-9600
Fax: (270) 842-4104
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

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1881243061
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.