Organization
SNH WIS TENANT LLC
Active
Parent organization
SNH WIS TENANT LLC
Other names
Meadowmere - Northshore
Organization subpart
Yes
Provider details
NPI number
Legal business name
SNH WIS TENANT LLC
Authorized official
JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER)
(617) 796-8350
Entity
Organization
Contact information
Practice address
10803 N PORT WASHINGTON RD, MEQUON, WI 53092-5085
(262) 478-2200
(262) 478-2164
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
Enumeration date
08/27/2019
Last updated
05/07/2020
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