Organization
BRANDYWINE ASSISTED LIVING @ SYCAMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE WIDNER (BUSINESS OFFICE MANAGER)
(732) 303-3167
Entity
Organization
Contact information
Practice address
5 MERIDIAN WAY, SHREWSBURY, NJ 07702-4353
(732) 202-2600
(732) 202-2690
Mailing address
5 MERIDIAN WAY, SHREWSBURY, NJ 07702-4353
(732) 202-2600
(732) 202-2690
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
55A007
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145513
—
NJ
Enumeration date
12/07/2007
Last updated
12/07/2007
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