WOODHAVEN ADULT HOME, LLC
Nursing at Route 112, Prt Jefferson Station, NY

License number
New York 700-F-905
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. KENNETH E GAUL
Title: SOLE MEMBER
Phone: (631) 473-7100
Address
Address
1350 Route 112, Prt Jefferson Station, NY 11776
National Provider ID: 1609998681
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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