SNH DERBY TENANT LLC NPI 1275182453

NPI Information

SNH DERBY TENANT LLC is an assisted living facility in Louisville, KY. The provider is 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. SNH DERBY TENANT LLC NPI is 1275182453. The provider is registered as an organization entity type.
The provider Other Name Is The Forum At Brookside.

The provider's business location address is:

200 BROOKSIDE DR
LOUISVILLE, KY
ZIP 40243-200
Phone: (502) 245-3048
Fax: (502) 244-6327

The provider's authorized official is Jennifer F. Mintzer .
The authorized official title is President & Chief Operating Officer and has the following contact phone number (617) 796-8350.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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