Organization
BRANDYWINE SENIOR LIVING AT WALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH R PHILLIPS (CHIEF FINANCIAL OFFICER)
(856) 813-2017
Entity
Organization
Contact information
Practice address
2021 HIGHWAY 35, WALL TOWNSHIP, NJ 07719-3539
(856) 813-2000
(856) 813-2020
Mailing address
525 FELLOWSHIP RD STE 360, MOUNT LAUREL, NJ 08054-3406
(856) 813-2000
(856) 813-2020
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NJ
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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