- Facility Name
- FS TENANT POOL IV TRUST
- Type / Classification
- Assisted Living Facility
- Address
- 12780 KENWOOD LN, FORT MYERS, FL 33907
- Phone Number
- (239) 278-0078
- NPI Number
- 1245256700
- Authorized Official
- KATHERINE POTTER (President & Chief Executive Officer)
- Enumeration Date
- 2006-07-15