# MAPLE LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland Acres Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326074782
- **Authorized official:** MRS. GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 1170 LINKHAW RD, LUMBERTON, NC 28358-2524
- **Practice address phone:** (910) 671-1163
- **Practice address fax:** (910) 671-1448
- **Mailing address:** 1435 HIGHWAY 258N, KINSTON, NC 28504-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0472 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 03/24/2020

## 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 |