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Organization
MAPLE LTC GROUP, LLC
Active
Organization
MAPLE LTC GROUP, LLC
Active
Other names
Highland Acres Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
1170 LINKHAW RD, LUMBERTON, NC 28358-2524
(910) 671-1163
(910) 671-1448
Mailing address
1435 HIGHWAY 258N, KINSTON, NC 28504-7208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093Q
STATE HEALTH PLAN #
NC
05
—
3435315
—
NC
05
—
3436542
—
NC
05
—
3445315
—
NC
05
—
7806630
—
NC
Enumeration date
06/25/2006
Last updated
03/24/2020
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