Fs Tenant Pool III Trust
Skilled Nursing Facility in Dallas, TX. Organization (NPI-2).
NPI number1962467415
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1962467415
- Entity type
- Organization (NPI-2)
- Legal business name
- Fs Tenant Pool III Trust
- Organization subpart
- Yes
- Enumeration date
- Apr 19, 2006
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 110390 | TX | Yes |
Other names
- Healthcare Center At The Forum At Park Lane (Doing Business As)
Practice location
7831 Park LaneDallas, TX 75225-2000
Phone 214-369-9902 · Fax 214-373-1836
Mailing address
7831 Park LaneDallas, TX 75225-2000
Phone 214-369-9902 · Fax 214-373-1836
Authorized official
Katherine E Potter
President & Chief Executive Officer
6177968387
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