Organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Active
Parent organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Other names
Forest 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
2500 POLO RIDGE CT, WINSTON-SALEM, NC 27106
(336) 722-7118
(336) 722-9785
Mailing address
400 CENTRE STREET, NEWTON, MA 02458
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806153
—
NC
Enumeration date
01/19/2007
Last updated
06/23/2020
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