Organization · Type 2 NPI

SNH Se Mooresville Tenant LLC

Assisted Living Facility · Mooresville, NC

NPI number 1447538657 Active

Practice location

128 Brawley School Rd
Mooresville, NC 28117-9102

Call (704) 799-2712 Map

Fax (704) 799-2719

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	HAL-049-030 (NC)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4 other providers at this address

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NPI record

NPI: 1447538657
Entity type: Organization (Type 2)
Issued: Jul 22, 2011
Last updated: Jun 23, 2020
Status: Active
Subpart: Yes of SNH Se Mooresville Tenant LLC

Other names

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Summit Place of Mooresville · doing business as
Summit Place of Mooresville · doing business as

Authorized official

Jennifer F Mintzer
President & Chief Operating Officer
(617) 796-8350

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447538657

SNH Se Mooresville Tenant LLC's National Provider Identifier is 1447538657, issued on Jul 22, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mooresville, NC. The record was last updated on Jun 23, 2020.