Organization
SNH MD TENANT LLC
Active
Parent organization
SNH MD TENANT LLC
Other names
Somerford House - Frederick
Organization subpart
Yes
Provider details
NPI number
Legal business name
SNH MD TENANT LLC
Authorized official
JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER)
(617) 796-8350
Entity
Organization
Contact information
Practice address
2100 WHITTIER DR, FREDERICK, MD 21702-3150
(301) 668-3930
(301) 668-3931
Mailing address
255 WASHINGTON ST STE 300, NEWTON, MA 02458-1634
(617) 796-8350
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
08/23/2019
Last updated
05/04/2020
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