Organization
CPLACE CARTERSVILLE SNF LLC
Active
Other names
Maple Ridge Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR M MARCOS (CFO)
(917) 209-1431
Entity
Organization
Contact information
Practice address
22 MAPLE RIDGE DR SE, CARTERSVILLE, GA 30121-2228
(770) 606-8800
Mailing address
24641 US HIGHWAY 19 N, CLEARWATER, FL 33763-5007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-077-1331
GA
Other
Enumeration date
03/23/2017
Last updated
06/28/2017
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