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    • Glen Haven Residential Healthcare Fac. Inc

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    NPI Provider: 1396742938
    Contact Name: Douglas Josepha Maryanne
    Position: Controller
    Phone: (631) 473-5400

    Glen Haven Residential Healthcare Fac. Inc Information:

    Glen Haven Residential Healthcare Fac. Inc organization have npi 1396742938, taxonomy code is 314000000X with license number is 5149303N in . This Business address located in 150 Dark Hollow Rd, Port Jefferson, NY 11777 New York. Get directions of Glen Haven Residential Healthcare Fac. Inc.

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    Practice Location
    Address: 150 Dark Hollow Rd, Port Jefferson, NY 11777
    Phone: (631) 473-5400

    Business Location

    Address: 150 Dark Hollow Rd, Port Jefferson, NY 11777

    Phone: (631) 473-5400

    Fax: (631) 474-5362

    Taxonomy

    Taxonomy Code: 314000000X

    License Number: 5149303N

    License Number of State: NY

    Primary Taxonomy Switch: Y

    Enumeration Date: 6/28/2005

    Map for Glen Haven Residential Healthcare Fac. Inc

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