BRANDYWINE ASSISTED LIVING NPI 1225189822

NPI Information

BRANDYWINE ASSISTED LIVING is an assisted living facility in Brick, NJ. The provider is 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. BRANDYWINE ASSISTED LIVING NPI is 1225189822. The provider is registered as an organization entity type.
The provider Is Doing Business As Brandywine At The Gables.

The provider's business location address is:

515 JACK MARTIN BLVD
BRICK, NJ
ZIP 08724-744
Phone: (732) 836-1400

The provider's authorized official is Melissa B Linteau .
The authorized official title is Contract Manager and has the following contact phone number (908) 686-3233.

The CLIA number assigned to this NPI record is 31D2206581 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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