NPI 1437384138

Five Star Quality Care-Obx Operator, LLC

Organisation Assisted Living Facility Mt Pleasant, SC

Practice location

Address: 601 Mathis Ferry Rd, Mt Pleasant, SC 29464-2623
Phone: (843) 881-9809
Mailing address: 400 Centre St, Newton, MA 02458-2094

Authorised official

Name: Katherine E Potter
Title: President & Chief Executive Office
Phone: (617) 796-8387

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1437384138
Entity type: Organization
NPI issued: 26 May 2009
Record last updated: 28 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.