Snh Wis Tenant LLC

NPI #1215585955 in Oak Creek, Wisconsin

Provider Information

NPI Number
1215585955
Entity Type
Organization
Organization Name
Snh Wis Tenant LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SNH WIS TENANT LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 27, 2019
Last Updated
Apr 2, 2025

Practice Location

Address
701 E PUETZ RD
ZIP Code
53154-3257
Phone
(414) 766-2100

Authorized Official

Name
CHRISTOPHER J. BOLOTTO
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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