NPI 1033700380

Well Bl Portfolio 1 Opco LLC

Organisation Assisted Living Facility Summit, NJ

Practice location

Address: 41 Springfield Ave, Summit, NJ 07901-4038
Phone: (908) 522-8852
Fax: (908) 522-8862

Authorised official

Name: Jennifer Mahon
Title: Authorized Signatory
Phone: (856) 813-2000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in New Jersey →

Registry record

NPI: 1033700380
Entity type: Organization
NPI issued: 29 Jan 2021
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.