Organization · Type 2 NPI

BH Brightview Woodbury Lake Opco, LLC

Assisted Living Facility · Woodbury, NJ

NPI number 1336787654 Active

Practice location

752 Cooper Street
Woodbury, NJ 08096

Fax (856) 848-3171

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: 1336787654
Entity type: Organization (Type 2)
Issued: Dec 17, 2019
Last updated: Sep 17, 2020
Status: Active

Other names

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Brightview Woodbury Lake · doing business as
Brightview Woodbury Lake · doing business as

Authorized official

Doug Dollenberg Jr.
BH Brightview Woodbuy Lake Opco
(410) 962-0595

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About NPI 1336787654

BH Brightview Woodbury Lake Opco, LLC's National Provider Identifier is 1336787654, issued on Dec 17, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Woodbury, NJ. The record was last updated on Sep 17, 2020.