Organization · Type 2 NPI

Glen Haven Residential Healthcare Fac. Inc

Skilled Nursing Facility · Port Jefferson, NY

NPI number 1396742938 Active

Practice location

150 Dark Hollow Rd
Port Jefferson, NY 11777-2048

Call (631) 473-5400 Map

Fax (631) 474-5362

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X5149303N (NY)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1396742938

Glen Haven Residential Healthcare Fac. Inc's National Provider Identifier is 1396742938, issued on Jun 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 9, 2015.