Organization
MAPLE MANOR CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRAATEN (BUSINESS MANAGER)
(701) 256-2987
Entity
Organization
Contact information
Practice address
1116 9TH AVE, LANGDON, ND 58249-1904
(701) 256-2987
(701) 256-5422
Mailing address
1116 9TH AVE, LANGDON, ND 58249-1904
(701) 256-2987
(701) 256-5422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1036A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450763
—
ND
Enumeration date
08/02/2005
Last updated
01/13/2022
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