Organization · Type 2 NPI
Maryhaven Center of Hope Inc.
Intellectual Disabilities Intermediate Care Facility · Manorville, NY
NPI number
1245374560
Active
Practice location
226 Eastport Manor Road
Manorville, NY 11949
Fax (631) 325-2261
Mailing address
51 Terryville Road
Port Jefferson Station, NY 11776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 6639496 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Manorville
About NPI 1245374560
Maryhaven Center of Hope Inc.'s National Provider Identifier is 1245374560, issued on Feb 19, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Manorville, NY. The record was last updated on May 1, 2015.