NPI 1891903175

Brea Wayne, LLC

Organisation Assisted Living Facility Wayne, NJ

Practice location

Address: 820 Hamburg Tpke, Wayne, NJ 07470-2019
Phone: (973) 942-4800
Mailing address: 6737 W Washington St Suite 2300, Milwaukee, WI 53214-5647

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 70A003 (NJ)

Other Assisted Living Facility providers in New Jersey →

Registry record

NPI: 1891903175
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 16 May 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.