Organization
ABCM CORPORATION
Active
Other names
Maple Manor Village
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERTS (CFO)
(641) 456-5636
Entity
Organization
Contact information
Practice address
345 PARRIOTT ST, APLINGTON, IA 50604-1063
(319) 347-2309
(319) 347-6347
Mailing address
1320 4TH ST NE, HAMPTON, IA 50441-1104
(641) 456-5636
(641) 456-2320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120347
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807404
—
IA
01
—
65346
WELLMARK
IA
Enumeration date
08/12/2005
Last updated
10/12/2009
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