Organization
SNH SE TENANT TRS, INC
Active
Other names
Coventry Village
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W. SIEDEL JR. (CFO & TREASURER)
(617) 796-8350
Entity
Organization
Contact information
Practice address
7707 N BROOKLINE DR, MADISON, WI 53719-3510
(608) 662-7622
(608) 829-0607
Mailing address
7707 N BROOKLINE DR, MADISON, WI 53719-3510
(608) 662-7622
(608) 829-0607
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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