| NPI | 1750538054 |
|---|---|
| Doing Business As | MIDDLE ISLAND ADHS |
| Entity Type | Organization |
| Authorized Contact | ROBERT HEPPENHEIMER Executive Director 631-361-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 5157315N) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY 5157507N) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2014-04-10 |