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Organization

BRANDYWINE SENIOR LIVING AT MAHWAH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH PHILLIPS (CHIEF FINANCIAL OFFICER)
(856) 813-2000
Entity
Organization

Contact information

Practice address
814 WYCKOFF AVE, MAHWAH, NJ 07430-3132
(201) 800-8070
(201) 800-8041
Mailing address
814 WYCKOFF AVE, MAHWAH, NJ 07430-3132
(201) 800-8070
(201) 800-8041

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
02A024
NJ

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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