Well Bl Portfolio 1 Opco LLC

NPI #1033700380 in Summit, New Jersey

Provider Information

NPI Number
1033700380
Entity Type
Organization
Organization Name
Well Bl Portfolio 1 Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 29, 2021
Last Updated
Feb 1, 2021

Practice Location

Address
41 SPRINGFIELD AVE
City
Summit
ZIP Code
07901-4038
Phone
(908) 522-8852

Authorized Official

Name
MRS. JENNIFER MAHON
Title
AUTHORIZED SIGNATORY
Phone
(856) 813-2000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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