Organization · Type 2 NPI

FS Tenant Pool IV Trust

Assisted Living Facility · Fort Myers, FL

NPI number 1245256700 Active

Practice location

12780 Kenwood Ln
Fort Myers, FL 33907-5605

Call (239) 278-0078 Map

Fax (239) 278-4598

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL7475 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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NPI record

NPI: 1245256700
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of FS Tenant Pool IV Trust

Other names

<unavail>
Springwood Court · doing business as
Springwood Court · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245256700

FS Tenant Pool IV Trust's National Provider Identifier is 1245256700, issued on Jul 15, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 28, 2019.