Maryhaven Center of Hope Inc.
NPI #1487799094 in Port Jefferson, New York
Provider Information
- NPI Number
- 1487799094
- Entity Type
- Organization
- Organization Name
- Maryhaven Center of Hope Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Apr 30, 2015
Practice Location
- Address
- 450 MYRTLE AVENUE
- Address 2
- HOUSE C
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777
- Phone
- (631) 474-3400
Authorized Official
- Name
- LAURA PEPPER
- Title
- DIRECTOR OF FINANCE
- Phone
- (531) 474-4120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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