Well Bl Opco LLC
NPI #1700489101 in Summit, New Jersey
Provider Information
- NPI Number
- 1700489101
- Entity Type
- Organization
- Organization Name
- Well Bl Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 18, 2020
- Last Updated
- Nov 24, 2020
Practice Location
- Address
- 41 SPRINGFIELD AVE
- City
- Summit
- State
- New Jersey
- 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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