Glen Haven Residential Healthcare Fac. INC
NPI #1396742938 in Port Jefferson, New York
Provider Information
- NPI Number
- 1396742938
- Entity Type
- Organization
- Organization Name
- Glen Haven Residential Healthcare Fac. INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 28, 2005
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 150 DARK HOLLOW RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2048
- Phone
- (631) 473-5400
Authorized Official
- Name
- MR. SANJAY AHUJA
- Title
- VICE PRESIDENT/SECRETARY
- Phone
- (631) 473-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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