Organization
MAPLE GROVE SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS P COX (TRUSTEE)
(615) 478-6181
Entity
Organization
Contact information
Practice address
711 FRANKFORT RD, SHELBYVILLE, KY 40065-9447
(502) 633-3486
Mailing address
411 INDUSTRIAL DR, WHITE HOUSE, TN 37188-8150
(615) 478-6181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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