Maple Ridge at Kenansville, LLC
NPI #1154905446 in Kenansville, North Carolina
Provider Information
- NPI Number
- 1154905446
- Entity Type
- Organization
- Organization Name
- Maple Ridge at Kenansville, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 12, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 329 COOPER STREET
- City
- Kenansville
- State
- North Carolina
- ZIP Code
- 28349
- Phone
- (863) 226-0358
Authorized Official
- Name
- LOUIS F. GARRRARD V
- Title
- MANAGER
- Phone
- (863) 226-0358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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