Organization
BV PORT JEFFERSON OPERATOR, LLC
Active
Organization
BV PORT JEFFERSON OPERATOR, LLC
Active
Other names
Brightview Port Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYNN DUKER (PRESIDENT / DUKER)
(410) 962-0595
Entity
Organization
Contact information
Practice address
1175 ROUTE 112, PORT JEFFERSON STATION, NY 11776
(631) 802-5021
(631) 802-5022
Mailing address
1175 ROUTE 112, PORT JEFFERSON STATION, NY 11776
(631) 802-5021
(631) 802-5022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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