Organization
FS TENANT POOL III TRUST
Active
Parent organization
FS TENANT POOL III TRUST
Other names
DBA - The 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 BLVD, DEERFIELD, FL 33442
(954) 698-6269
(954) 428-3074
Mailing address
400 CENTRE STREET, NEWTON, MA 02458
(617) 796-8160
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
SNF1162096
FL
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
03/27/2019
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