NPI 1194893719

Kenneth Gaul II, LLC

Organisation Nursing Facility/Intermediate Care Facility Center Moriches, NY

Practice location

Address: 6 Frowein Rd, Center Moriches, NY 11934-1604
Phone: (631) 878-4400
Fax: (631) 878-6865

Authorised official

Name: Madeline C Butler
Title: Administrator
Phone: (631) 878-4400

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 5151313N (NY)

Other Nursing Facility/Intermediate Care Facility providers in New York →

Registry record

NPI: 1194893719
Entity type: Organization
NPI issued: 1 Dec 2006
Record last updated: 28 Jan 2008

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.