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Contact Information

MAPLE MANOR NURSING CENTER, INC
102 2ND ST
ONTONAGON, MI49953-1337
 Phone: 906-884-2882
 Fax: 906-884-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MAPLE MANOR NURSING CENTER, INC

NPI # 1053308734
LBN Legal business name MAPLE MANOR NURSING CENTER, INC
Authorized official LAWRENCE KUTZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2005
Last updated 08/07/2007 - About 19 years ago
Identifiers
MI License # 664020
MI Medicaid 2082408
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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