# MAPLEWOOD CARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elk Ridge Alzheimer's Special Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134795636
- **Authorized official:** MS. TERRI LYNN BAKER (FINANCE AND LICENSING COORDINATOR)
- **Authorized official phone:** (503) 998-5810

## Contact information

- **Practice address:** 1700 BEAM AVE, MAPLEWOOD, MN 55109-1168
- **Practice address phone:** (651) 779-0500
- **Practice address fax:** (651) 779-0505
- **Mailing address:** 5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
- **Mailing address phone:** (360) 254-9442
- **Mailing address fax:** (360) 251-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 06/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A667482400 | MINNESOTA DEPARTMENT OF HEALTH (MDH) | MN |