1164540522 MAKO RESIDENCE
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- MAKO RESIDENCE
- Enumeration Date
- March 26, 2007
- Last Update
- August 22, 2020
- Authorized Official
- EDWIN M KENNEDY
CFO
Phone: (516) 733-7000
Practice Location
- Address
- 380 EDS RD
SOUTHOLD, NY 119713716 - Phone
- (631) 665-3434
Mailing Address
- Address
- 380 EDS RD
SOUTHOLD, NY 119713716 - Phone
- (631) 665-3434
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 6186446 | NY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245898 | 05 | NY | N/A |
| 6186446 | 01 | NY | OPERATING CERTIFICATE |
Frequently Asked Questions
What is MAKO RESIDENCE's NPI number?
MAKO RESIDENCE's NPI number is 1164540522.
Which doctor has NPI number 1164540522?
The doctor with NPI number 1164540522 is MAKO RESIDENCE.
What is MAKO RESIDENCE's practice address?
MAKO RESIDENCE's practice address is 380 EDS RD, SOUTHOLD, NY, 119713716.
Which doctor practices at 380 EDS RD, SOUTHOLD, NY, 119713716?
MAKO RESIDENCE practices at 380 EDS RD, SOUTHOLD, NY, 119713716.
What is MAKO RESIDENCE's phone number?
MAKO RESIDENCE's phone number is (631) 665-3434.
Who is (631) 665-3434?
(631) 665-3434 is the phone number for MAKO RESIDENCE.
What is MAKO RESIDENCE's specialty?
MAKO RESIDENCE's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is MAKO RESIDENCE?
MAKO RESIDENCE is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is MAKO RESIDENCE a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, MAKO RESIDENCE is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is MAKO RESIDENCE still practicing?
Yes, MAKO RESIDENCE is currently practicing.
Is MAKO RESIDENCE accepting new patients?
MAKO RESIDENCE may be accepting new patients. Please call their office at (631) 665-3434 to inquire about availability.
Is NPI 1164540522 still active?
Yes, NPI 1164540522 is currently active.
Where does MAKO RESIDENCE practice?
MAKO RESIDENCE practices in SOUTHOLD, NY.