OrganizationActive
Kenneth Gaul II, LLC
NPI 1194893719 · Nursing Facility/Intermediate Care Facility · Center Moriches, NY
Provider details
- NPI number
- 1194893719
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Madeline Butler, Administrator(631) 878-4400
- License
- 5151313N (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
6 Frowein Rd
Center Moriches, NY 11934-1604
Phone: (631) 878-4400
Fax: (631) 878-6865
Approximate (ZIP-level) locationGet directions
Mailing address
6 Frowein Rd
Center Moriches, NY 11934-1604
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.