| NPI | 1346730298 |
|---|---|
| Doing Business As | BRIGHTVIEW LAKE TAPPAN |
| Entity Type | Organization |
| Authorized Contact | MARILYNN K DUKER Bv Lake Tappan Operator LLC By Mari 410-962-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-12-29 |