Organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Active
Organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Active
Parent organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Other names
Legacy Heights Senior Living Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
11230 BALLANTYNE TRACE COURT, CHARLOTTE, NC 28277
(704) 544-7220
(704) 544-7221
Mailing address
400 CENTRE STREET, NEWTON, MA 02458
(617) 796-8160
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-060-086
NC
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806166
—
NC
Enumeration date
01/18/2007
Last updated
03/28/2019
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