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Maryhaven Center Of Hope Inc.
Intellectual Disabilities Intermediate Care Facility in Miller Place, New York
NPI 1134263429

Maryhaven Center Of Hope Inc. is a Intellectual Disabilities Intermediate Care Facility based in Port Jefferson Station, NY. Maryhaven Center Of Hope Inc. practices in Miller Place, NY. The NPI Number for Maryhaven Center Of Hope Inc. is 1134263429 and holds a License No. 6639490 (New York).

The current practice location address for Maryhaven Center Of Hope Inc. is 452 Miller Place Road, Miller Place, NY and can be reached out via phone at 631-928-0389 and via fax at 631-476-6710.

Location: 452 Miller Place Road, Miller Place, NY, 11776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134263429
Provider Name
Maryhaven Center Of Hope Inc.
Credential
Provider Entity Type
Organization
Address
452 Miller Place Road, Miller Place, NY, 11776
Phone Number
631-928-0389
Fax Number
631-476-6710
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00942416 05 NY
institution
Provider Business Practice Location Address Details
Address
452 Miller Place Road
City
Miller Place
State
New York
Zip
11764
Phone Number
631-928-0389
Fax Number
631-476-6710
person
Provider Business Mailing Address Details
Address
452 Miller Place Road
City
Miller Place
State
New York
Zip
11764
Phone Number
631-928-0389
Fax Number
631-476-6710
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
6639490 (New York)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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