Organization
BRANDYWINE ASSISTED LIVING
Active
Other names
Brandywine at the Gables
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA B LINTEAU (CONTRACT MANAGER)
(908) 686-3233
Entity
Organization
Contact information
Practice address
515 JACK MARTIN BLVD, BRICK, NJ 08724-7744
(732) 836-1400
Mailing address
515 JACK MARTIN BLVD, BRICK, NJ 08724-7744
(732) 836-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90143
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7796901
—
NJ
Enumeration date
01/12/2007
Last updated
08/22/2020
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