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Organization

RBM OPCO OF LEBANON LLC

Active
Other names
Maple Grove Healthcare Center, Maple Grove Nursing & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA FERGUSON (DIRECTOR OF REVENUE CYCLE)
(540) 265-0322
Entity
Organization

Contact information

Practice address
318 E MAIN ST, LEBANON, VA 24266-4614
(276) 889-0733
(276) 889-5443
Mailing address
318 E MAIN ST, LEBANON, VA 24266-4614
(276) 889-0733
(276) 889-5443

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134107212
VA
01
442455
ANTHEM BCBS
Enumeration date
01/09/2006
Last updated
01/09/2024
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