institution
Maryhaven Center Of Hope Inc.
Intellectual Disabilities Intermediate Care Facility in Manorville, New York
NPI 1245374560

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 Manorville, NY. The NPI Number for Maryhaven Center Of Hope Inc. is 1245374560 and holds a License No. 6639496 (New York).

The current practice location address for Maryhaven Center Of Hope Inc. is 226 Eastport Manor Road, Manorville, NY and can be reached out via phone at 631-325-8532 and via fax at 631-325-2261.

Location: 226 Eastport Manor Road, Manorville, NY, 11776
institution
Provider Profile Details
NPI Number
1245374560
Provider Name
Maryhaven Center Of Hope Inc.
Credential
Provider Entity Type
Organization
Address
226 Eastport Manor Road, Manorville, NY, 11776
Phone Number
631-325-8532
Fax Number
631-325-2261
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01101784 05 NY
institution
Provider Business Practice Location Address Details
Address
226 Eastport Manor Road
City
State
Zip
11949
Phone Number
631-325-8532
Fax Number
631-325-2261
person
Provider Business Mailing Address Details
Address
226 Eastport Manor Road
City
State
Zip
11949
Phone Number
631-325-8532
Fax Number
631-325-2261
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
6639496 (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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