Organization
MAPLE SPRINGS MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ADAM LARSEN (CEO/OWNER)
(435) 754-4034
Entity
Organization
Contact information
Practice address
350 EAST 2200 NORTH, NORTH LOGAN, UT 84341-1761
(435) 753-9400
(435) 752-6602
Mailing address
350 EAST 2200 NORTH, NORTH LOGAN, UT 84341-1761
(435) 753-9400
(435) 752-6602
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465186
NORIDIAN HEALTHCARE SOLUTIONS
UT
Enumeration date
08/24/2016
Last updated
07/03/2017
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