Organization
WELL BL OPCO LLC
Active
Other names
Brandywine Living at Brandall Estates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH PHILLIPS (AUTHORIZED SIGNATORY)
(856) 813-2000
Entity
Organization
Contact information
Practice address
432 CENTRAL AVE, LINWOOD, NJ 08221-1372
(609) 926-4663
(609) 926-5354
Mailing address
432 CENTRAL AVE, LINWOOD, NJ 08221-1372
(609) 926-4663
(609) 926-5354
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
11/20/2020
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