Organization
MAPLE RIDGE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Active
Other names
Maple Ridge Retirement & Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (CEO/PRESIDENT OF MANAGEMENT COMPANY)
(503) 373-3125
Entity
Organization
Contact information
Practice address
1767 ALLIANCE AVE, FREELAND, WA 98249-9448
(360) 331-1303
(360) 331-1363
Mailing address
3220 STATE ST, SUITE 200, SALEM, OR 97301-6872
(503) 373-3125
(503) 588-3531
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1966
WA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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