Organization
SOUTHAMPTON CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN O MAHONEY RN LNHA (ADMINISTRATOR)
(631) 283-2134
Entity
Organization
Contact information
Practice address
330 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5060
(631) 283-2134
(631) 287-1385
Mailing address
330 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5060
(631) 283-2134
(631) 287-1385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5126302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00808315
—
NY
01
—
0586950001
DMERC
—
Enumeration date
07/07/2005
Last updated
08/22/2020
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