Organization
FS LEXINGTON TENANT TRUST
Active
Parent organization
FS LEXINGTON TENANT TRUST
Other names
Lexington Country Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
FS LEXINGTON TENANT TRUST
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
700 MASON HEADLEY ROAD, LEXINGTON, KY 40504-2326
(859) 259-3486
(859) 276-2751
Mailing address
700 MASON HEADLEY ROAD, LEXINGTON, KY 40504-2326
(859) 259-3486
(859) 276-2751
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504262
—
KY
Enumeration date
05/24/2006
Last updated
03/28/2019
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