Organization
MAPLE ESPLANADE LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY YOUNT (OWNER)
(405) 705-2400
Entity
Organization
Contact information
Practice address
1400 OLD BERGMAN RD, HARRISON, AR 72601
(405) 705-2400
Mailing address
3720 E 2ND ST, EDMOND, OK 73034-7303
(405) 705-2400
(405) 705-2401
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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