Organization · Type 2 NPI
Maryhaven Center of Hope Inc.
Intellectual Disabilities Intermediate Care Facility · Port Jefferson, NY
NPI number
1043354681
Active
Practice location
450 Myrtle Avenue, House 1
Port Jefferson, NY 11777
Fax (631) 331-3974
Mailing address
51 Terryville Road
Port Jefferson Station, NY 11776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
3 other providers at this address
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1487799094
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1568507911
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1952446569
Other intellectual disabilities intermediate care facility providers in Port Jefferson
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1487799094
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1568507911
- Maryhaven Center of Hope Inc.Intellectual Disabilities Intermediate Care Facility Port Jefferson, NY NPI 1952446569
About NPI 1043354681
Maryhaven Center of Hope Inc.'s National Provider Identifier is 1043354681, issued on Feb 16, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Port Jefferson, NY. The record was last updated on May 1, 2015.