Organization
THE MAPLES HEALTH AND REHABILITATION, LLC
Active
Other names
The Maples Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (CFO)
(479) 464-0200
Entity
Organization
Contact information
Practice address
610 W SUNSET ST, SPRINGFIELD, MO 65807-3696
(417) 891-1700
(417) 891-7192
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037407
LICENSE NUMBER
MO
05
—
106915705
—
MO
Enumeration date
05/06/2009
Last updated
11/07/2014
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