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Organization

BH BRIGHTVIEW MOUNT LAUREL OPCO, LLC

Active
Other names
Brightview Mount Laurel
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG DOLLENBERG JR. (AUTHORIZED SIGNATORY BH BRIGHTVIEW)
(410) 962-0595
Entity
Organization

Contact information

Practice address
400 FERNBROOKE LANE, MT. LAUREL, NJ 08054
(856) 222-1213
(856) 802-9749
Mailing address
400 FERNBROOKE LANE, MT. LAUREL, NJ 08054
(856) 222-1213
(856) 802-9749

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
12/12/2019
Last updated
12/12/2019
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