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Organization

MAPLE RIDGE MANOR, INC

Active
Other names
Maple Ridge Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILL ABLES (ADMINISTRATOR)
(731) 286-6725
Entity
Organization

Contact information

Practice address
705 LAKE RD, DYERSBURG, TN 38024-2918
(731) 286-6725
(731) 286-6977
Mailing address
705 LAKE RD, DYERSBURG, TN 38024-2918
(731) 286-6725
(731) 286-6977

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000212
TN

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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