Snh Wis Tenant LLC
NPI #1912554023 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1912554023
- Entity Type
- Organization
- Organization Name
- Snh Wis Tenant LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SNH WIS TENANT LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 22, 2019
- Last Updated
- May 7, 2020
Practice Location
- Address
- 5301 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-1652
- Phone
- (414) 615-7200
Authorized Official
- Name
- JENNIFER F. MINTZER
- Title
- PRESIDENT & CHIEF OPERATING OFFICER
- Phone
- (617) 796-8350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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