Organization
WELL BL OPCO LLC
Active
Other names
Brandywine Living at Pennington LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH PHILLIPS (AUTHORIZED SIGNATORY)
(856) 813-2000
Entity
Organization
Contact information
Practice address
143 W FRANKLIN AVE, PENNINGTON, NJ 08534-1438
(609) 730-9922
(609) 730-9923
Mailing address
143 W FRANKLIN AVE, PENNINGTON, NJ 08534-1438
(609) 730-9922
(609) 730-9923
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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