Glen Haven Residential Healthcare Fac Inc
Glen Haven Residential Healthcare Fac Inc is a Skilled Nursing Facility in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2005.
- Licensed in
- NY
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
150 Dark Hollow RdPort Jefferson, NY 11777-2048
Phone: (631) 473-5400
Fax: (631) 474-5362
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 5149303N (NY) |
|---|
Record details
| NPI number | 1396742938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sanjay Ahuja — Vice President/Secretary · (631) 473-5400 |
| Other names | Port Jefferson Healthcare Facility Inc |
| NPI enumerated | June 28, 2005 |
| Last updated in NPPES | July 9, 2015 |
| Mailing address | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 |
Other providers in Port Jefferson
-
Port Jefferson Operating LLC
150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 · (631) 473-5400