Woodhaven Adult Home, LLC
Woodhaven Adult Home, LLC is an Assisted Living Facility in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1350 Route 112Port Jefferson Station, NY 11776-3078
Phone: (631) 473-7100
Fax: (631) 473-7118
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
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 700-F-905 (NY) |
|---|
Record details
| NPI number | 1609998681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Gaul — Sole Member · (631) 473-7100 |
| NPI enumerated | April 3, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1360 Route 112, Port Jefferson Station, NY 11776-3078 |
Other providers in Port Jefferson Station
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Bv Port Jefferson Operator, LLC
1175 Route 112, Port Jefferson Station, NY 11776 · (631) 802-5021