Snh Longhorn Tenant LLC
Assisted Living Facility in Dallas, TX. Organization (NPI-2).
NPI number1164079273
StatusActive
Last updated in NPPESOct 11, 2021
Details
- NPI
- 1164079273
- Entity type
- Organization (NPI-2)
- Legal business name
- Snh Longhorn Tenant LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 22, 2019
- Certification date
- Oct 11, 2021
- Last updated
- Oct 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 314000000X | Skilled Nursing Facility | – | – |
Other names
- The Forum At Park Lane (Doing Business As)
- Healthcare Center At The Forum At Park Lane (Doing Business As)
Practice location
7831 Park LnDallas, TX 75225-2000
Phone 214-369-9902 · Fax 214-373-1836
Mailing address
255 Washington St Ste 300Newton, MA 02458-1634
Phone 617-796-8350
Authorized official
Jennifer F. Mintzer
President & Chief Operating Officer
6177968350
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