Maple Ridge Living Center

NPI #1205183449 in Lake City, Michigan

Provider Information

NPI Number
1205183449
Entity Type
Organization
Organization Name
Maple Ridge Living Center
Primary Specialty
Clinic/Center
Enumeration Date
Aug 7, 2012
Last Updated
Aug 7, 2012

Practice Location

Address
2575 W HOUGHTON LAKE RD
ZIP Code
49651-8820
Phone
(231) 839-1011

Authorized Official

Name
JAMIE KUNKEL, 231-839-1011
Title
ADMINISTRATOR/LICENSEE
Phone
(231) 839-1011

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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