31D0992540 CLIA NUMBER - BRANDYWINE SENIOR LIVING

Laboratory Demographics

CLIA Number: 31D0992540

Facility Name: BRANDYWINE SENIOR LIVING

Facility Address:
1205 NORTH CHURCH ST
MOORESTOWN, NJ
ZIP 08057
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Facility Phone Number: 856 778-0600

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1417035866

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	31D0992540
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	BRANDYWINE SENIOR LIVING
Street	1205 NORTH CHURCH ST
City	MOORESTOWN
State	NJ
ZIP	08057
Phone	856 778-0600
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024