Organization · Type 2 NPI
Maryhaven Center of Hope Inc.
Intellectual Disabilities Intermediate Care Facility · Holtsville, NY
NPI number
1013051341
Active
Practice location
298 Long Island Avenue
Holtsville, NY 11742
Fax (631) 758-9811
Mailing address
51 Terryville Road
Port Jefferson Station, NY 11776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 6824421 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1013051341
Maryhaven Center of Hope Inc.'s National Provider Identifier is 1013051341, issued on Feb 19, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Holtsville, NY. The record was last updated on Apr 30, 2015.