# LEISURE CHATEAU REHAB HUNTINGTONS DISEASE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEISURE CHATEAU ACQUISITION LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629512181
- **Legal business name:** LEISURE CHATEAU ACQUISITION LLC
- **Authorized official:** MR. SHIMON FALIK (DIRECTOR)
- **Authorized official phone:** (732) 370-8600

## Contact information

- **Practice address:** 962 RIVER AVE, LAKEWOOD, NJ 08701-5605
- **Practice address phone:** (732) 370-8600
- **Mailing address:** 962 RIVER AVE, LAKEWOOD, NJ 08701-5605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061515 | NJ | Yes |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 12/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0516082 | — | NJ |