# FS TENANT POOL III TRUST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FS TENANT POOL III TRUST
- **Other names:** Healthcare Center at The Forum at Park Lane
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962467415
- **Legal business name:** FS TENANT POOL III TRUST
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 7831 PARK LANE, DALLAS, TX 75225-2000
- **Practice address phone:** (214) 369-9902
- **Practice address fax:** (214) 373-1836
- **Mailing address:** 7831 PARK LANE, DALLAS, TX 75225-2000
- **Mailing address phone:** (214) 369-9902
- **Mailing address fax:** (214) 373-1836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110390 | TX | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/27/2019