Organization
MAPLEWOOD CARE GROUP LLC
Active
Other names
Elk Ridge Alzheimer's Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI LYNN BAKER (FINANCE AND LICENSING COORDINATOR)
(503) 998-5810
Entity
Organization
Contact information
Practice address
1700 BEAM AVE, MAPLEWOOD, MN 55109-1168
(651) 779-0500
(651) 779-0505
Mailing address
5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
(360) 254-9442
(360) 251-1770
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A667482400
MINNESOTA DEPARTMENT OF HEALTH (MDH)
MN
Enumeration date
06/03/2021
Last updated
06/03/2021
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