Fs Leisure Park Tenant Trust

NPI 1861560187 - Assisted Living Facility - 310400000X

NPI Details
NPI 1861560187
Enumeration Date 12/04/2006
Last Updated 04/22/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE J. BRUCE
Position PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone (732) 370-0444
Fax (732) 370-1783
Practice Location
1400 HIGHWAY 70
LAKEWOOD NJ, 08701-5949, US
Phone (732) 370-0444
Fax (732) 370-1783
Business Location
1400 HIGHWAY 70
LAKEWOOD NJ, 08701-5949, US
Phone (732) 370-0444
Fax (732) 370-1783
Toxanomy
Taxonomy Code 310400000X
License State
License Number
Remove 1861560187 NPI Number
 

According to our database, Fs Leisure Park Tenant Trust NPI is 1861560187, taxonomy code is 310400000X Fs Leisure Park Tenant Trust physically located at 1400 Highway 70, Lakewood NJ, 08701-5949. NPI Number 1033115704 has the healthcare provider type.

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1861560187 NPI number is provided on an as is basis without warranty of any kind. 1861560187 is maintained by the National Plan & Provider Enumeration System. The contents of Fs Leisure Park Tenant Trust are for informational purposes only.