Organization · Type 2 NPI
Maryhaven Center of Hope Inc.
Intellectual Disabilities Intermediate Care Facility · Miller Place, NY
NPI number
1437294451
Active
Practice location
9 Miller Place Road
Miller Place, NY 11764
Fax (631) 331-1372
Mailing address
51 Terryville Road
Port Jefferson Station, NY 11776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 6639497 (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 Miller Place
About NPI 1437294451
Maryhaven Center of Hope Inc.'s National Provider Identifier is 1437294451, issued on Feb 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Miller Place, NY. The record was last updated on May 1, 2015.