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Organization
LEISURE CHATEAU ACQUISITION LLC
Active
Organization
LEISURE CHATEAU ACQUISITION LLC
Active
Other names
Leisure Chateau Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN ROKEACH LNHA (ADMINISTRATOR)
(732) 370-8600
Entity
Organization
Contact information
Practice address
962 RIVER AVE, LAKEWOOD, NJ 08701-5605
(732) 370-8600
(732) 370-8676
Mailing address
962 RIVER AVE, LAKEWOOD, NJ 08701-5605
(732) 370-8600
(732) 370-8676
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061515
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4493605
—
NJ
01
—
5952870001
MEDICARE NHIC
NJ
Enumeration date
09/30/2005
Last updated
04/12/2010
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