# FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
- **Other names:** Ageility Physical Therapy Solutions at Ellicott City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578576906
- **Legal business name:** FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
- **Authorized official:** JEFFREY C LEER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 3004 NORTH RIDGE ROAD, ELLICOTT CITY, MD 21043-3381
- **Practice address phone:** (410) 480-2175
- **Practice address fax:** (410) 750-1240
- **Mailing address:** 255 WASHINGTON ST STE 230, NEWTON, MA 02458-1644
- **Mailing address phone:** (617) 796-8387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 10/18/2022
