| Organization Name: | FS LEISURE PARK TENANT TRUST |
| NPI Number: | 1861560187 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE J. MACKEY (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1400 Highway 70 Lakewood |
| State: | NJ US |
| Postal Code: | 087015949 |
| Phone Number: | 7323700444 |
| Fax Number: | 7323701783 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |