Organization
FVE MW LLC
Active
Parent organization
FVE MW LLC
Other names
Five Star Residences of Lafayette
Organization subpart
Yes
Provider details
NPI number
Legal business name
FVE MW LLC
Authorized official
KATHERINE E. POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
250 SHENANDOAH DRIVE, LAFAYETTE, IN 47905
(765) 449-4475
(765) 447-7290
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
09/29/2020
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