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NPI Code Detail

MEDICARE: SNH SE TENANT TRS, INC

MEDICARE: SNH SE TENANT TRS, INC
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 : 1265958839
Entity Type Code : Organization
Provider Name (Legal Business Name) : SNH SE TENANT TRS, INC
Provider Business Mailing Address
First Line : 2480 NORTH PARK ROAD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2480 N PARK RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3744
Country : US
Telephone Number : 954-989-8008
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CHIEF OPERATING OFFICER
Name : JENNIFER F MINTZER
Credential :
Telephone Number : 617-796-8350
Provider Enumeration Date : 08/16/2017
Last Update Date : 04/30/2020

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