Organization · Type 2 NPI

SNH Lincoln Tenant LLC

Assisted Living Facility · Troy, IL

NPI number 1629625686 Active

Practice location

39 Dorothy Dr
Troy, IL 62294-1389

Call (618) 667-1342 Map

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.

6 other providers at this address

NPI record

NPI: 1629625686
Entity type: Organization (Type 2)
Issued: Aug 23, 2019
Last updated: May 4, 2020
Status: Active
Subpart: Yes of SNH Lincoln Tenant LLC

Other names

Morningside of Troy · 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 1629625686

SNH Lincoln Tenant LLC's National Provider Identifier is 1629625686, issued on Aug 23, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Troy, IL. The record was last updated on May 4, 2020.