39D2199820 CLIA NUMBER - BRIGHTVIEW WAYNE, LLC DBA BRIGHTVIEW DEVON

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Laboratory Demographics

CLIA Number: 39D2199820

Facility Name: BRIGHTVIEW WAYNE, LLC DBA BRIGHTVIEW DEVON

Facility Address:
301 E CONESTOGA ROAD
WAYNE, PA
ZIP 19087
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Facility Phone Number: 484 519-0097

Facility Type: Other - PERSONAL CARE HOME

Certificate Type: Waiver

NPI Number: 1538654363

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	39D2199820
LAB Type	Other - PERSONAL CARE HOME
Facility Name	BRIGHTVIEW WAYNE, LLC DBA BRIGHTVIEW DEVON
Street	301 E CONESTOGA ROAD
City	WAYNE
State	PA
ZIP	19087
Phone	484 519-0097
CertificateType	4
CertificateEffectiveDate	11/11/2022
CertificateExpirationDate	11/10/2024
FacilityType	Waiver

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