Active NPIOrganization

Brandywine Senior Living At Wall

Assisted Living Facility in Wall Township, New Jersey

NPI Number1558642603
Practice location
2021 Highway 35, Wall Township, NJ 07719-3539
Fax
856-813-2020
Last updated
September 2, 2011

Brandywine Senior Living At Wall is a healthcare organization based in Wall Township, NJ. Brandywine Senior Living At Wall practices in Wall Township, NJ. The NPI Number for Brandywine Senior Living At Wall is 1558642603. The current practice location address for Brandywine Senior Living At Wall is 2021 Highway 35, Wall Township, NJ 07719-3539 and can be reached out via phone at 856-813-2000 and via fax at 856-813-2020.

Provider Profile Details

NPI Number
1558642603
Provider Name
Brandywine Senior Living At Wall
Provider Entity Type
Organization
Address
2021 Highway 35, Wall Township, NJ 07719-3539
Phone Number
856-813-2000
Fax Number
856-813-2020
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Mr. Keith R Phillips · Chief Financial Officer · 856-813-2017
Provider Enumeration Date
September 2, 2011
Last Update Date
September 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
2021 Highway 35
Wall Township, NJ 07719-3539
Zip
07719-3539
Phone Number
856-813-2000
Fax Number
856-813-2020
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
525 Fellowship RD
Suite 360
Mount Laurel, NJ 08054-3415
City
Mount Laurel
State
NJ
Zip
08054-3415
Phone Number
856-813-2000
Fax Number
856-813-2020

License Information

License State
NJ
Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandywine Senior Living At Wall?

The NPI number of Brandywine Senior Living At Wall is 1558642603. It was assigned on September 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Brandywine Senior Living At Wall?

Brandywine Senior Living At Wall is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does Brandywine Senior Living At Wall practice?

The practice location is 2021 Highway 35, Wall Township, NJ 07719-3539. The office can be reached at 856-813-2000 (phone) or 856-813-2020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558642603 directly on the NPPES registry website.

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