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Bh Brightview South River Opco, LLC

Assisted Living Facility in Edgewater, MD. Organization (NPI-2).

NPI number1033757786
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1033757786
Entity type
Organization (NPI-2)
Legal business name
Bh Brightview South River Opco, LLC
Organization subpart
No
Enumeration date
Dec 12, 2019
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
311500000X Alzheimer Center (Dementia Center)––

Other names

  • Brightview South River (Doing Business As)

Practice location

8 Lee Airpark Drive
Edgewater, MD 21037

Phone 410-956-7310 · Fax 410-956-7311

Mailing address

8 Lee Airpark Drive
Edgewater, MD 21037

Phone 410-956-7310 · Fax 410-956-7311

Authorized official

Doug Dollenberg
Authorized Signatory Bh Brightview
4109620595

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