# ACTIVE RETIREMENT COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson's Ferry Outpatient Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538548037
- **Authorized official:** MR. BRIAN AMTMANN (CHIEF FINANCIALL OFFICER)
- **Authorized official phone:** (631) 650-2724

## Contact information

- **Practice address:** 500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
- **Practice address phone:** (631) 650-2724
- **Mailing address:** 500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
- **Mailing address phone:** (631) 650-2724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 5151317N | NY | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 11/07/2024