Maple Ridge Care Centre LLC

NPI #1609852847 in Lincoln, Illinois

Provider Information

NPI Number
1609852847
Entity Type
Organization
Organization Name
Maple Ridge Care Centre LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 20, 2005
Last Updated
Oct 4, 2011

Practice Location

Address
2202 N KICKAPOO ST
ZIP Code
62656-1306
Phone
(217) 735-1538

Authorized Official

Name
MR. MICHAEL CHARLES BRAUN
Title
CONTROLLER
Phone
(847) 583-0100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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