Organization
MAPLE LTC GROUP, LLC
Active
Other names
Cornerstone Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORWOOD RANDOLPH UZZELL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
711 SUSAN TART RD, DUNN, NC 28334-5557
(910) 892-8843
(910) 891-1945
Mailing address
PO BOX 948, DUNN, NC 28335-0948
(910) 892-8843
(910) 891-1945
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805284
—
NC
05
—
7806627
—
NC
Enumeration date
01/08/2008
Last updated
05/09/2012
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