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Organization

FS TENANT POOL III TRUST

Active
Parent organization
FS TENANT POOL III TRUST
Other names
Forum at Deer Creek
Organization subpart
Yes

Provider details

NPI number
Legal business name
FS TENANT POOL III TRUST
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization

Contact information

Practice address
3001 DEER CREEK COUNTRY CLUB BLVD, DEERFIELD BEACH, FL 33442-8438
(954) 698-6269
(954) 428-3074
Mailing address
3001 DEER CREEK COUNTRY CLUB BLVD, DEERFIELD BEACH, FL 33442-8438
(954) 698-6269
(954) 428-3074

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
314000000X
Skilled Nursing Facility
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025348100
FL
05
SNF1162096
FL
Enumeration date
12/04/2006
Last updated
03/27/2019
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