Maryhaven Center of Hope Inc.

NPI #1225172521 in Medford, New York

Provider Information

NPI Number
1225172521
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
1385 N OCEAN AVENUE
ZIP Code
11763
Phone
(631) 289-6157

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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