Organization
FIVE STAR TUCSON FORUM LLC
Active
Parent organization
FIVE STAR TUCSON FORUM LLC
Other names
The Health Care Center At The Forum At Tucson
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR TUCSON FORUM LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2500 N ROSEMONT BLVD, TUCSON, AZ 85712-2167
(520) 325-4800
(520) 319-4076
Mailing address
2500 N ROSEMONT BLVD, TUCSON, AZ 85712-2167
(520) 325-4800
(520) 319-4076
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI419
AZ
Other
Enumeration date
05/19/2006
Last updated
03/28/2019
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