Organization
SNH INDY TENANT LLC
Active
Other names
Oak Woods Manor
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W. SIEDEL JR. (CFO & TREASURER)
(617) 796-8350
Entity
Organization
Contact information
Practice address
1211 LONGWOOD DR, LA PORTE, IN 46350-4700
(219) 362-6600
(219) 362-6611
Mailing address
1211 LONGWOOD DR, LA PORTE, IN 46350-4700
(219) 362-6600
(219) 362-6611
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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