Organization
MAPLE HILL REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH (ADMINISTRATOR)
(413) 737-2148
Entity
Organization
Contact information
Practice address
156 MILL ST, SPRINGFIELD, MA 01108-1022
(413) 737-2148
Mailing address
156 MILL ST, SPRINGFIELD, MA 01108-1022
(413) 737-2148
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5508045
PROVIDER NUMBER
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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