Organization
ARDIS B. HONOHAN
Active
Other names
Sachem Assisted Living Program; South Bay Assisted Living Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARDIS B. HONOHAN (OPERATOR)
(631) 588-4554
Entity
Organization
Contact information
Practice address
1298 COATES AVE, HOLBROOK, NY 11741-2440
(631) 588-4554
(631) 588-4578
Mailing address
1298 COATES AVE, HOLBROOK, NY 11741-2440
(631) 588-4554
(631) 588-4578
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
700-F-069
NY
310400000X
Assisted Living Facility
700-F-113
NY
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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