Organization
MAPLE MANOR REHAB CENTER OF NOVI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS EVANGELISTA (ATTORNEY AND CFO)
(248) 320-9114
Entity
Organization
Contact information
Practice address
31215 NOVI RD, NOVI, MI 48377
(248) 626-1114
(248) 626-3918
Mailing address
7071 ORCHARD LAKE RD, SUITE 333, WEST BLOOMFIELD, MI 48322-3613
(248) 626-1114
(248) 626-3918
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634595
MI
Other
Enumeration date
06/03/2013
Last updated
07/31/2013
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