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Organization

MAPLE LTC GROUP, LLC

Active
Other names
Cumberland Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization

Contact information

Practice address
2461 LEGION RD, FAYETTEVILLE, NC 28306-2997
(910) 424-9417
(910) 423-1409
Mailing address
PO BOX 64665, FAYETTEVILLE, NC 28306-0665
(910) 424-9417
(910) 423-1409

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0501
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00941
BC/BS OF NC
NC
05
3435376
NC
05
3436308
NC
05
3445376
NC
Enumeration date
06/24/2006
Last updated
04/07/2017
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