Lake Grove Maple Valley

LBN: Lake Grove Maple Valley
Lake Grove Maple Valley is an health care organization with primary practice located at 6 Farley Rd , Wendell MA 01379-9706. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Lake Grove Maple Valley can be contacted via phone (978) 544-6913, or through Wienclaw, Felix via phone (631) 696-1400.

Contact Information

Primary practice address
6 Farley Rd Wendell MA 01379-9706
Phone: (978) 544-6913
Fax: (978) 544-8672
Website:
Map and Directions
Authorized official contact:
Name: Wienclaw, Felix
Phone: (631) 696-1400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1841468980
LBN Legal business name Lake Grove Maple Valley
DBA Doing business as
Authorized official Wienclaw, Felix
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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