Organization
MEDFORD HAMLET, LLC
Active
Other names
The Medford Hamlet Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J BENENSON (EXECUTIVE DIRECTOR)
(631) 289-0600
Entity
Organization
Contact information
Practice address
1529 N OCEAN AVE, MEDFORD, NY 11763-3556
(631) 289-0622
Mailing address
1529 N OCEAN AVE, MEDFORD, NY 11763-3556
(631) 289-0622
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
700-F-921
NY
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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