Organization · Type 2 NPI

Maryhaven Center of Hope Inc.

Intellectual Disabilities Intermediate Care Facility · Port Jefferson, NY

NPI number 1487799094 Active

Practice location

450 Myrtle Avenue, House C
Port Jefferson, NY 11777

Call (631) 474-3400 Map

Fax (631) 474-4181

Mailing address

51 Terryville Road
Port Jefferson Station, NY 11776

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X6639495 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

3 other providers at this address

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About NPI 1487799094

Maryhaven Center of Hope Inc.'s National Provider Identifier is 1487799094, issued on Feb 21, 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 Apr 30, 2015.