FSQ THE PALMS AT FORT MYERS BUSINESS TRUST
Nursing at Winkler Ave, Fort Myers, FL

License number
Florida AL7269
Category
Nursing
Type
Assisted Living Facility
Owner
Name: BRUCE J MACKEY JR.
Title: PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (617) 796-8214
Address
Address 2
2674 Winkler Ave, Fort Myers, FL 33901
400 Centre St, Newton, MA 02458
National Provider ID: 1831134535
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FSQ THE PALMS AT FORT MYERS BUSINESS TRUST

400 Ctr St, Newton, MA 02458

Registration:
Feb 19, 2002
State ID:
D02000000007
Business type:
Declaration of Trust
Entity State:
MD
Treasurer:
Barry M Portnoy (Treasurer), 400 Ctr St, Newton, MA 02458 (Physical)
Agent:
Corporation Service Company,1201 Hays St, Tallahassee, FL 32301 (Physical)
EIN:
NO-NE

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