Snh Indy Tenant LLC

NPI #1750010807 in La Porte, Indiana

Provider Information

NPI Number
1750010807
Entity Type
Organization
Organization Name
Snh Indy Tenant LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 6, 2022
Last Updated
Jun 6, 2022

Practice Location

Address
1211 LONGWOOD DR
State
Indiana
ZIP Code
46350-4700
Phone
(219) 362-6600

Authorized Official

Name
RICHARD W. SIEDEL JR.
Title
CFO & TREASURER
Phone
(617) 796-8350

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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