Organization · Type 2 NPI

SNH Derby Tenant LLC

Assisted Living Facility · Mayfield, KY

NPI number 1760031959 Active

Practice location

1517 West Broadway Street
Mayfield, KY 42066

Call (270) 251-0233 Map

Fax (270) 251-7159

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.

Other assisted living facility providers in Mayfield

Morningside of Kentucky, Limited PartnershipAssisted Living Facility Mayfield, KY NPI 1205874724

See all in Mayfield →

NPI record

NPI: 1760031959
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

Morningside of Mayfield · doing business as

Authorized official

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

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About NPI 1760031959

SNH Derby Tenant LLC's National Provider Identifier is 1760031959, issued on Sep 10, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mayfield, KY. The record was last updated on May 4, 2020.