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Contact Information

MAPLE RIDGE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
1767 ALLIANCE AVE
FREELAND, WA98249-9448
 Phone: 360-331-1303
 Fax: 360-331-1363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for MAPLE RIDGE RETIREMENT & ASSISTED LIVING COMMUNITY LLC

NPI # 1871774455
LBN Legal business name MAPLE RIDGE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Authorized official KELLEY HAMILTON - (CEO/PRESIDENT OF MANAGEMENT COMPANY)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2007
Last updated 11/23/2007 - About 19 years ago
Identifiers
WA License # 1966
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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