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Organization
MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC
Active
Organization
MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC
Active
Other names
Maple Ridge Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (CEO AND PRESIDENT OF MANAGER)
(503) 566-5715
Entity
Organization
Contact information
Practice address
3220 STATE ST, SUITE 200, SALEM, OR 97301-6872
(503) 566-5715
(503) 588-3531
Mailing address
1767 ALLIANCE AVE, FREELAND, WA 98249-9448
(360) 331-1303
(360) 331-1363
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1966
WA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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