CSH Marlton Lessee, LLC
Organization Active NPI Assisted Living Facility · Evesham, NJ
NPI 1104506971 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1104506971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CSH MARLTON LESSEE, LLC
- Practice address
- 5 Executive Dr
Evesham, NJ 08053-5688 - Phone
- (856) 326-1491
- NPI assigned
- Jul 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Judson Harper
- Title
- President of Management Company
- Phone
- (404) 441-7667
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2279478 | Arbor Terrace Marlton | Certificate of waiver | Apr 2, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
5 Executive Dr
Evesham, NJ 08053-5688
Mailing address
5 Executive Dr
Evesham, NJ 08053-5688
Phone (856) 326-1491
Other names
- Arbor Terrace Marlton
Other providers in Evesham, NJ
- Bright Beginnings Pediatric Therapy SJ
- Ronita Chambers
- Yadid Chaniz-Rico
- Tamara Clara Christian
- Kathleen Connelly
- Kevin Edward Davis
- Marybeth Deangelis
- Dental Arts & Wellness LLC
- Danielle Dolores
- Extraordinary Minds
All providers in Evesham, NJ · Assisted Living Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.