Organization
ACTIVE RETIREMENT COMMUNITY, INC.
Active
Other names
Jefferson's Ferry
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAULFIELD (PRESIDENT / CEO)
(631) 650-2610
Entity
Organization
Contact information
Practice address
500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
(631) 650-2700
Mailing address
1 JEFFERSON FERRY DR., S. SETAUKET, NY 11720
(631) 650-2600
(631) 650-2620
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287410
—
NY
Enumeration date
07/13/2005
Last updated
11/07/2024
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