NPI 1518001817

Brea West Orange, LLC

Organisation Assisted Living Facility West Orange, NJ

Practice location

Address: 520 Prospect Ave, West Orange, NJ 07052-3229
Phone: (973) 325-5700
Fax: (973) 325-6800
Mailing address: 6737 W Washington St STE 2300, Milwaukee, WI 53214-5650

Authorised official

Name: Bryan Richardson
Title: Evp, Chief Admin. Officer
Phone: (615) 564-8131

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 30A001 (NJ)

Other Assisted Living Facility providers in New Jersey →

Registry record

NPI: 1518001817
Entity type: Organization
NPI issued: 19 Feb 2007
Record last updated: 13 Jun 2016

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.