| NPI | 1811712987 |
|---|---|
| Doing Business As | BEVERELY PLACE |
| Entity Type | Organization |
| Authorized Contact | BAZE BROWNELL CEO 609-457-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-12-15 |