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Organization

FVE EC LLC

Active
Parent organization
FVE EC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FVE EC LLC
Authorized official
BRUCE J. MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8214
Entity
Organization

Contact information

Practice address
501 LAUREL OAK RD, VOORHEES, NJ 08043-4418
(856) 566-2340
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0356115
NJ
Enumeration date
04/16/2009
Last updated
05/13/2016
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