Organization · Type 2 NPI

SNH Derby Tenant LLC

Assisted Living Facility · Lexington, KY

NPI number 1508415787 Active

Practice location

690 Mason Headley Rd
Lexington, KY 40504-2384

Call (859) 278-9080 Map

Fax (859) 276-2198

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

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.

8 other providers at this address

NPI record

NPI: 1508415787
Entity type: Organization (Type 2)
Issued: Sep 10, 2019
Last updated: May 4, 2020
Status: Active
Subpart: Yes of SNH Derby Tenant LLC

Other names

Lafayette at Country Place · doing business as

Authorized official

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

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About NPI 1508415787

SNH Derby Tenant LLC's National Provider Identifier is 1508415787, issued on Sep 10, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lexington, KY. The record was last updated on May 4, 2020.