Organization
MAPLE RIDGE AT KENANSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS F. GARRRARD V (MANAGER)
(863) 226-0358
Entity
Organization
Contact information
Practice address
329 COOPER STREET, KENANSVILLE, NC 28349
(863) 226-0358
Mailing address
505 ARIANA AVE, AUBURNDALE, FL 33823-4139
(863) 226-0358
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/17/2021
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