31D2194608 CLIA NUMBER - BRICK SENIOR CARE LLC (THE CHELSEA AT BRICK)

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Laboratory Demographics

CLIA Number: 31D2194608

Facility Name: BRICK SENIOR CARE LLC (THE CHELSEA AT BRICK)

Facility Address:
458 JACK MARTIN BOULEVARD
BRICK, NJ
ZIP 08724
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Facility Phone Number: 732 206-9800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1992085377

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	31D2194608
LAB Type	Assisted Living Facility
Facility Name	BRICK SENIOR CARE LLC (THE CHELSEA AT BRICK)
Street	458 JACK MARTIN BOULEVARD
City	BRICK
State	NJ
ZIP	08724
Phone	732 206-9800
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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