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Organization

FIVE STAR MEMORIAL WOODS LLC

Active
Parent organization
FIVE STAR MEMORIAL WOODS LLC
Other names
The Forum at Memorial Woods Healthcare Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIVE STAR MEMORIAL WOODS LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization

Contact information

Practice address
777 N POST OAK RD, HOUSTON, TX 77024-3800
(713) 956-0732
(713) 956-0732
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100820
TX
310400000X
Assisted Living Facility
113230
TX
314000000X
Skilled Nursing Facility
Primary
129232
TX

Other

Enumeration date
07/17/2006
Last updated
03/28/2019
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