Organization · Type 2 NPI

BH Brightview South River Opco, LLC

Assisted Living Facility · Edgewater, MD

NPI number 1033757786 Active

Practice location

8 Lee Airpark Drive
Edgewater, MD 21037

Fax (410) 956-7311

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Alzheimer Center (Dementia Center)	311500000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1033757786
Entity type: Organization (Type 2)
Issued: Dec 12, 2019
Last updated: Nov 3, 2020
Status: Active

Other names

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Brightview South River · doing business as
Brightview South River · doing business as

Authorized official

Doug Dollenberg
Authorized Signatory BH Brightview
(410) 962-0595

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About NPI 1033757786

BH Brightview South River Opco, LLC's National Provider Identifier is 1033757786, issued on Dec 12, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Edgewater, MD. The record was last updated on Nov 3, 2020.