Organization
MAPLE LTC GROUP, LLC
Active
Other names
Highland Acres Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
1170 LINKHAW RD, LUMBERTON, NC 28358-2524
(910) 671-1163
(910) 671-1448
Mailing address
1435 HIGHWAY 258N, KINSTON, NC 28504-7208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093Q
STATE HEALTH PLAN #
NC
05
—
3435315
—
NC
05
—
3436542
—
NC
05
—
3445315
—
NC
05
—
7806630
—
NC
Enumeration date
06/25/2006
Last updated
03/24/2020
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