Organization · Type 2 NPI

FS Leisure Park Tenant Trust

Assisted Living Facility · Lakewood, NJ

NPI number 1447634266 Active

Practice location

1400 Route 70
Lakewood, NJ 08701-5949

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

7 other providers at this address

SNH NJ Tenant LLCAssisted Living Facility Lakewood, NJ NPI 1376190660
SNH NJ Tenant LLCAssisted Living Facility Lakewood, NJ NPI 1407404015
SNH NJ Tenant LLCAlzheimer Center (Dementia Center) Lakewood, NJ NPI 1609558527
Cardine HarrisLicensed Practical Nurse Lakewood, NJ NPI 1295554533
Elizabeth Connelly BrownClinical Social Worker Lakewood, NJ NPI 1871005348
Heather Marie Chernosky, OTR/LPhysical Rehabilitation Occupational Therapist Lakewood, NJ NPI 1386366201
Jamie Marie Guadagnino, MA SLPSpeech-Language Pathologist Lakewood, NJ NPI 1346833456

Other assisted living facility providers in Lakewood

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NPI record

NPI: 1447634266
Entity type: Organization (Type 2)
Issued: Jul 10, 2015
Last updated: Mar 26, 2019
Status: Active
Subpart: Yes of FS Leisure Park Tenant Trust

Other names

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Leisure Park · doing business as
Leisure Park · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447634266

FS Leisure Park Tenant Trust's National Provider Identifier is 1447634266, issued on Jul 10, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lakewood, NJ. The record was last updated on Mar 26, 2019.