Organization · Type 2 NPI

SNH Az Tenant LLC

Assisted Living Facility · Peoria, AZ

NPI number 1821645268 Active

Practice location

13840 N Desert Harbor Dr
Peoria, AZ 85381-3501

Call (623) 972-0995 Map

Fax (623) 977-5271

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Skilled Nursing Facility	314000000X	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.

2 other providers at this address

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NPI record

NPI: 1821645268
Entity type: Organization (Type 2)
Issued: Aug 21, 2019
Last updated: Oct 11, 2021
Status: Active
Subpart: Yes of SNH Az Tenant LLC

Other names

<unavail>
The Forum at Desert Harbor · doing business as
The Forum at Desert Harbor · doing business as

Authorized official

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

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About NPI 1821645268

SNH Az Tenant LLC's National Provider Identifier is 1821645268, issued on Aug 21, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Peoria, AZ. The record was last updated on Oct 11, 2021.