Kenneth Gaul Ii, LLC
NPI #1194893719 in Center Moriches, New York
Provider Information
- NPI Number
- 1194893719
- Entity Type
- Organization
- Organization Name
- Kenneth Gaul Ii, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Jan 28, 2008
Practice Location
- Address
- 6 FROWEIN RD
- City
- Center Moriches
- State
- New York
- ZIP Code
- 11934-1604
- Phone
- (631) 878-4400
Authorized Official
- Name
- MISS MADELINE C BUTLER, LNHA
- Title
- ADMINISTRATOR
- Phone
- (631) 878-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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