Organization
WELL BL OPCO LLC
Active
Other names
Brandywine Living at Mountain Ridge LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH PHILLIPS (AUTHORIZED SIGNATORY)
(856) 813-2000
Entity
Organization
Contact information
Practice address
680 MOUNTAIN BLVD, WATCHUNG, NJ 07069-6270
(908) 754-8180
(908) 754-8184
Mailing address
680 MOUNTAIN BLVD, WATCHUNG, NJ 07069-6270
(908) 754-8180
(908) 754-8184
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
11/20/2020
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