Maple Place Living Center, LLC

NPI #1558446823 in Wetumka, Oklahoma

Provider Information

NPI Number
1558446823
Entity Type
Organization
Organization Name
Maple Place Living Center, LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 26, 2006
Last Updated
Jan 12, 2023

Practice Location

Address
620 S ALABAMA ST
ZIP Code
74883-6033
Phone
(405) 452-3271

Authorized Official

Name
MRS. DONNA R SIMMONS
Title
OFFICE MANAGER
Phone
(405) 380-6671

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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