Organization
FS TENANT POOL I TRUST
Active
Parent organization
FS TENANT POOL I TRUST
Other names
Shipley Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
FS TENANT POOL I TRUST
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2723 SHIPLEY ROAD, WILMINGTON, DE 19810
(302) 479-0111
(302) 497-5880
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
1169
DE
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000118311
—
DE
Enumeration date
05/18/2006
Last updated
03/27/2019
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