institution
Maryhaven Center Of Hope Inc.
Intellectual Disabilities Intermediate Care Facility in Port Jefferson, New York
NPI 1568507911

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 Port Jefferson, NY. The NPI Number for Maryhaven Center Of Hope Inc. is 1568507911 and holds a License No. 6639493 (New York).

The current practice location address for Maryhaven Center Of Hope Inc. is 450 Myrtle Avenue, Port Jefferson, NY and can be reached out via phone at 631-474-3400 and via fax at 631-474-4181. You can also correspond with Maryhaven Center Of Hope Inc. through the mailing address at 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY - 11776 (mailing address contact number: 631-474-4120).

Location: 450 Myrtle Avenue, Port Jefferson, NY, 11776
institution
Provider Profile Details
NPI Number
1568507911
Provider Name
Maryhaven Center Of Hope Inc.
Credential
Provider Entity Type
Organization
Address
450 Myrtle Avenue, Port Jefferson, NY, 11776
Phone Number
631-474-3400
Fax Number
631-474-4181
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01036240 05 NY
institution
Provider Business Practice Location Address Details
Address
450 Myrtle Avenue
City
State
Zip
11777
Phone Number
631-474-3400
Fax Number
631-474-4181
person
Provider Business Mailing Address Details
Address
450 Myrtle Avenue
City
State
Zip
11777
Phone Number
631-474-3400
Fax Number
631-474-4181
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
6639493 (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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