Well Bl Opco LLC
NPI #1104476241 in Watchung, New Jersey
Provider Information
- NPI Number
- 1104476241
- Entity Type
- Organization
- Organization Name
- Well Bl Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Nov 20, 2020
Practice Location
- Address
- 680 MOUNTAIN BLVD
- City
- Watchung
- State
- New Jersey
- ZIP Code
- 07069-6270
- Phone
- (908) 754-8180
Authorized Official
- Name
- MR. KEITH PHILLIPS
- Title
- AUTHORIZED SIGNATORY
- Phone
- (856) 813-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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