# MAPLE GROVE NURSING HOME INC

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

## Provider details

- **NPI number:** 1831428531
- **Authorized official:** JIM BROWN (MANAGER)
- **Authorized official phone:** (207) 532-6593

## Contact information

- **Practice address:** 93 MILITARY ST, HOULTON, ME 04730-2421
- **Practice address phone:** (207) 532-6593
- **Practice address fax:** (207) 532-4456
- **Mailing address:** 93 MILITARY ST, HOULTON, ME 04730-2421
- **Mailing address phone:** (207) 532-6593
- **Mailing address fax:** (207) 532-4456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALLS 2743 | ME | Yes |

## Other

- **Enumeration date:** 12/09/2009
- **Last updated:** 12/09/2009