Organization
WELL BL OPCO LLC
Active
Other names
Brandywine Living at the Gables LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH PHILLIPS (AUTHORIZED SIGNATORY)
(856) 813-2000
Entity
Organization
Contact information
Practice address
515 JACK MARTIN BLVD, BRICK, NJ 08724-7744
(732) 836-1400
(732) 836-9600
Mailing address
515 JACK MARTIN BLVD, BRICK, NJ 08724-7744
(732) 836-1400
(732) 836-9600
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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