# 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 Waterford Grand
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619624269
- **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:** 600 WATERFORD WAY, EUGENE, OR 97401-6746
- **Practice address phone:** (541) 636-3329
- **Mailing address:** 255 WASHINGTON ST STE 230, NEWTON, MA 02458-1644
- **Mailing address phone:** (617) 796-8350

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2022
- **Last updated:** 10/20/2022