Organization
ABCM CORPORATION
Active
Other names
Maple Manor Village Independent/Assisted Living Apartments
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERTS (CFO)
(641) 456-5636
Entity
Organization
Contact information
Practice address
343 PARRIOTT ST, APLINGTON, IA 50604-1093
(319) 347-1502
(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
310400000X
Assisted Living Facility
Primary
S0048
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454488
MEDICAID AL WAIVER
IA
Enumeration date
08/12/2005
Last updated
10/09/2009
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