31D2236290 CLIA NUMBER - BH BRIGHTVIEW MOUNT LAUREL OPCO LLC

Laboratory Demographics

CLIA Number: 31D2236290

Facility Name: BH BRIGHTVIEW MOUNT LAUREL OPCO LLC

Facility Address:
400 FERNBROOKE LANE
MOUNT LAUREL, NJ
ZIP 08054
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Facility Phone Number: 856 222-1213

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1871131508

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	31D2236290
LAB Type	Assisted Living Facility
Facility Name	BH BRIGHTVIEW MOUNT LAUREL OPCO LLC
Street	400 FERNBROOKE LANE
City	MOUNT LAUREL
State	NJ
ZIP	08054
Phone	856 222-1213
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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