Organization
WELL BL PORTFOLIO 1 OPCO LLC
Active
Other names
Brandywine Living at Summit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MAHON (AUTHORIZED SIGNATORY)
(856) 813-2000
Entity
Organization
Contact information
Practice address
41 SPRINGFIELD AVE, SUMMIT, NJ 07901-4038
(908) 522-8852
(908) 522-8862
Mailing address
41 SPRINGFIELD AVE, SUMMIT, NJ 07901-4038
(908) 522-8852
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
02/01/2021
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