# SNH DERBY TENANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SNH DERBY TENANT LLC
- **Other names:** Lafayette at Country Place
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508415787
- **Legal business name:** SNH DERBY TENANT LLC
- **Authorized official:** JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER)
- **Authorized official phone:** (617) 796-8350

## Contact information

- **Practice address:** 690 MASON HEADLEY RD, LEXINGTON, KY 40504-2384
- **Practice address phone:** (859) 278-9080
- **Practice address fax:** (859) 276-2198
- **Mailing address:** 255 WASHINGTON ST STE 300, NEWTON, MA 02458-1634
- **Mailing address phone:** (617) 796-8350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2019
- **Last updated:** 05/04/2020