Organization
FS TENANT POOL I TRUST
Active
Parent organization
FS TENANT POOL I TRUST
Other names
Shipley Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
FS TENANT POOL I TRUST
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2723 SHIPLEY RD, WILMINGTON, DE 19810-3251
(302) 479-0111
(302) 479-5880
Mailing address
2723 SHIPLEY RD, WILMINGTON, DE 19810-3251
(302) 479-0111
(302) 479-5880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1377
DE
314000000X
Skilled Nursing Facility
Primary
1169
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001188311
—
DE
Enumeration date
07/17/2006
Last updated
03/27/2019
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