Organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Active
Parent organization
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Other names
Five Star Residences of Fort Wayne
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2601 COVINGTON COMMONS DRIVE, FORT WAYNE, IN 46804
(260) 432-1932
(260) 432-7740
Mailing address
400 CENTRE STREET, NEWTON, MA 02458
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
06/23/2020
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