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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAKO RESIDENCE

Active Organization

MAKO RESIDENCE is a Intellectual Disabilities Residential Treatment Facility organization located in SOUTHOLD, New York. NPI 1164540522 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · SOUTHOLD, NY

Registration Details

NPI Number
1164540522
Provider Type
Organization
NPI Issued
Mar 26, 2007 (19.433650776856 yrs)
Last Updated
Aug 22, 2020
License
6186446 (NY)

Practice Information

Address
380 EDS RD
SOUTHOLD, NY, 119713716
Browse NY providers · Browse ZIP 11971
Phone
6316653434
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.