Organization
MAPLE SPRINGS OF PALMER SNF HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ADAM LARSEN (CEO)
(435) 754-4034
Entity
Organization
Contact information
Practice address
12130 E MAPLE SPRINGS WAY, PALMER, AK 99645
(907) 841-1217
(907) 373-1820
Mailing address
350 E 2200 N, LOGAN, UT 84341-1865
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
09/20/2019
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