Maryhaven Center of Hope Inc.

NPI #1134263429 in Miller Place, New York

Provider Information

NPI Number
1134263429
Entity Type
Organization
Organization Name
Maryhaven Center of Hope Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 19, 2007
Last Updated
May 1, 2015

Practice Location

Address
452 MILLER PLACE ROAD
ZIP Code
11764
Phone
(631) 928-0389

Authorized Official

Name
LAURA PEPPER
Title
DIRECTOR OF FINANCE
Phone
(631) 474-4120

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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