Organization · Type 2 NPI

FS Tenant Pool I Trust

Assisted Living Facility · Wilmington, DE

NPI number 1740358050 Active

Practice location

407 Foulk Rd
Wilmington, DE 19803-3809

Call (540) 341-2195 Map

Fax (302) 655-6249

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Skilled Nursing Facility	314000000X	None listed

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.

2 other providers at this address

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NPI record

NPI: 1740358050
Entity type: Organization (Type 2)
Issued: Dec 4, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of FS Tenant Pool I Trust

Other names

<unavail>
Foulk Manor South · doing business as
Foulk Manor South · 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 1740358050

FS Tenant Pool I Trust's National Provider Identifier is 1740358050, issued on Dec 4, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wilmington, DE. The record was last updated on Mar 28, 2019.