Organization
FS LEISURE PARK TENANT TRUST
Active
Parent organization
FS LEISURE PARK TENANT TRUST
Other names
Leisure Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
FS LEISURE PARK TENANT TRUST
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
1400 ROUTE 70, LAKEWOOD, NJ 08701-5949
(732) 370-0444
Mailing address
1400 ROUTE 70, LAKEWOOD, NJ 08701-5949
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
03/26/2019
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