Maple Place

LBN: Maple Place Living Center, Llc
Maple Place is an health care organization with primary practice located at 620 S Alabama St , Wetumka OK 74883-6033. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Maple Place Living Center, Llc can be contacted via phone (405) 452-3271, or through Simmons, Donna R via phone (405) 380-6671.

Contact Information

Primary practice address
620 S Alabama St Wetumka OK 74883-6033
Phone: (405) 452-3271
Fax: (405) 452-5154
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Donna R
Phone: (405) 380-6671

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X NH3207-3207 Oklahoma

Profile Details

NPI number 1558446823
LBN Legal business name Maple Place Living Center, Llc
DBA Doing business as Maple Place
Authorized official Simmons, Donna R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 12th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1558446823 NPPES
Oklahoma MEDICAID 200101970A

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