# MAPLE MANOR REHAB CENTER OF NOVI INC.

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

## Provider details

- **NPI number:** 1851738652
- **Authorized official:** MARCUS EVANGELISTA (ATTORNEY AND CFO)
- **Authorized official phone:** (248) 320-9114

## Contact information

- **Practice address:** 31215 NOVI RD, NOVI, MI 48377
- **Practice address phone:** (248) 626-1114
- **Practice address fax:** (248) 626-3918
- **Mailing address:** 7071 ORCHARD LAKE RD, SUITE 333, WEST BLOOMFIELD, MI 48322-3613
- **Mailing address phone:** (248) 626-1114
- **Mailing address fax:** (248) 626-3918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 634595 | MI | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 07/31/2013