Maple Crest Care Centre LLC

NPI #1649256876 in Belvidere, Illinois

Provider Information

NPI Number
1649256876
Entity Type
Organization
Organization Name
Maple Crest Care Centre LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 20, 2005
Last Updated
Feb 20, 2012

Practice Location

Address
4452 SQUAW PRAIRIE RD
ZIP Code
61008-8801
Phone
(815) 547-6377

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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