Organization
MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M KASBEN SR. (ADMINISTRATOR/OWNER/VICE-PRESIDENT)
(231) 228-5895
Entity
Organization
Contact information
Practice address
1086 W BURDICKVILLE RD, MAPLE CITY, MI 49664-8769
(231) 228-5895
(231) 228-7512
Mailing address
1086 W BURDICKVILLE RD, MAPLE CITY, MI 49664-8769
(231) 228-5895
(231) 228-7512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
454010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09960
BCBSM PROVIDER ID
MI
05
—
1909799
—
MI
Enumeration date
05/31/2005
Last updated
01/11/2022
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