Organization
MAPLE SPRINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ADAM LARSEN (ADMINISTRATOR)
(435) 723-9100
Entity
Organization
Contact information
Practice address
1040 MEDICAL DR, BRIGHAM CITY, UT 84302-5599
(435) 723-9100
(435) 723-9150
Mailing address
1040 MEDICAL DR, BRIGHAM CITY, UT 84302-5599
(435) 723-9100
(435) 723-9150
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
102056
UT
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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