# MAPLE MANOR CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326049248
- **Authorized official:** JOHN BRAATEN (BUSINESS MANAGER)
- **Authorized official phone:** (701) 256-2987

## Contact information

- **Practice address:** 1116 9TH AVE, LANGDON, ND 58249-1904
- **Practice address phone:** (701) 256-2987
- **Practice address fax:** (701) 256-5422
- **Mailing address:** 1116 9TH AVE, LANGDON, ND 58249-1904
- **Mailing address phone:** (701) 256-2987
- **Mailing address fax:** (701) 256-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1036A | ND | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 01/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1450763 | — | ND |