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NPI Code Detail

MEDICARE: SNH SC TENANT LLC

MEDICARE: SNH SC TENANT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1134776180
Entity Type Code : Organization
Provider Name (Legal Business Name) : SNH SC TENANT LLC
Provider Business Mailing Address
First Line : 255 WASHINGTON ST STE 300
Second Line :
City : NEWTON
State : MA
Zip : 02458-1634
Country : US
Telephone Number : 617-796-8350
Fax Number :
Provider Business Practice Location Address
First Line : 218 OLD CHAPIN RD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2030
Country : US
Telephone Number : 803-957-3600
Fax Number : 803-359-6187
Authorized Official
Title or Position : PRESIDENT & CHIEF OPERATING OFFICER
Name : JENNIFER F. MINTZER
Credential :
Telephone Number : 617-796-8350
Provider Enumeration Date : 08/23/2019
Last Update Date : 05/07/2020

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Directions to “SNH SC TENANT LLC ” Practice Location

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