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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