Organization · Type 2 NPI
Woodhaven Adult Home, LLC
Assisted Living Facility · Port Jefferson Station, NY
NPI number
1609998681
Active
Practice location
1350 Route 112
Port Jefferson Station, NY 11776-3078
Fax (631) 473-7118
Mailing address
1360 Route 112
Port Jefferson Station, NY 11776-3078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 700-F-905 (NY) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3 other providers at this address
Other assisted living facility providers in Port Jefferson Station
About NPI 1609998681
Woodhaven Adult Home, LLC's National Provider Identifier is 1609998681, issued on Apr 3, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 22, 2020.