NPI 1013051341

Maryhaven Center of Hope INC.

Organisation Intellectual Disabilities Intermediate Care Facility Holtsville, NY

Practice location

Address: 298 Long Island Avenue, Holtsville, NY 11742
Phone: (631) 758-8479
Fax: (631) 758-9811
Mailing address: 51 Terryville Road, Port Jefferson Station, NY 11776

Authorised official

Name: Laura Pepper
Title: Director of Finance
Phone: (531) 474-4120

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 6824421 (NY)

Other Intermediate Care Facility, Intellectual Disabilities providers in New York →

Registry record

NPI: 1013051341
Entity type: Organization
NPI issued: 19 Feb 2007
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.