Organization
MAPLE LTC GROUP, LLC
Active
Other names
Cornerstone Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (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
314000000X
Skilled Nursing Facility
Primary
NH0482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093T
BC/BS OF NC
NC
05
—
3436122
—
NC
05
—
3445325
—
NC
05
—
7805284
—
NC
05
—
7806627
—
NC
Enumeration date
06/25/2006
Last updated
04/07/2017
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