Provider Demographics
NPI:1407527880
Name:BFG PRINCETON PROPCO IV, LLC
Entity type:Organization
Organization Name:BFG PRINCETON PROPCO IV, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:FEASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-309-9543
Mailing Address - Street 1:228 N PARK AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3886
Mailing Address - Country:US
Mailing Address - Phone:609-309-9543
Mailing Address - Fax:609-309-9544
Practice Address - Street 1:4331 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-1903
Practice Address - Country:US
Practice Address - Phone:609-309-9543
Practice Address - Fax:609-309-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility