Organization
MAPLETON COMMUNITY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WAYNE KING (ADMINISTRATOR)
(507) 524-3315
Entity
Organization
Contact information
Practice address
301 TROENDLE ST SW, MAPLETON, MN 56065-9744
(507) 524-3315
(507) 524-4410
Mailing address
PO BOX 337, MAPLETON, MN 56065-0337
(507) 524-3315
(507) 524-4410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331781
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9682MA
BLUE CROSS/BLUE SHIELD
MN
01
—
NH0511
UCARE
MN
Enumeration date
07/30/2006
Last updated
08/22/2020
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