location
search-icon
institution
Mako Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Southold, New York
NPI 1164540522

Mako Residence is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Southold, NY. Mako Residence practices in Southold, NY. The NPI Number for Mako Residence is 1164540522 and holds a License No. 6186446 (New York).

The current practice location address for Mako Residence is 380 Eds Rd, Southold, NY and can be reached out via phone at 631-665-3434.

Location: 380 Eds Rd, Southold, NY, 11971-3716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164540522
Provider Name
Mako Residence
Credential
Provider Entity Type
Organization
Address
380 Eds Rd, Southold, NY, 11971-3716
Phone Number
631-665-3434
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02245898 05 NY
6186446 01 NY OPERATING CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
380 Eds Rd
City
Southold
State
New York
Zip
11971-3716
Phone Number
631-665-3434
Fax Number
person
Provider Business Mailing Address Details
Address
380 Eds Rd
City
Southold
State
New York
Zip
11971-3716
Phone Number
631-665-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
6186446 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.