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Organization
MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.
Active
Organization
MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M KASBEN SR. (ADMINISTRATOR/OWNER/VICE-PRESIDENT)
(231) 228-5895
Entity
Organization
Contact information
Practice address
1086 W BURDICKVILLE RD, MAPLE CITY, MI 49664-8769
(231) 228-5895
(231) 228-7512
Mailing address
1086 W BURDICKVILLE RD, MAPLE CITY, MI 49664-8769
(231) 228-5895
(231) 228-7512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
454010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09960
BCBSM PROVIDER ID
MI
05
—
1909799
—
MI
Enumeration date
05/31/2005
Last updated
01/11/2022
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