# FIVE STAR TUCSON FORUM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR TUCSON FORUM LLC
- **Other names:** The Health Care Center At The Forum At Tucson
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457304404
- **Legal business name:** FIVE STAR TUCSON FORUM LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 2500 N ROSEMONT BLVD, TUCSON, AZ 85712-2167
- **Practice address phone:** (520) 325-4800
- **Practice address fax:** (520) 319-4076
- **Mailing address:** 2500 N ROSEMONT BLVD, TUCSON, AZ 85712-2167
- **Mailing address phone:** (520) 325-4800
- **Mailing address fax:** (520) 319-4076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI419 | AZ | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 03/28/2019