Organization
MAPLE LTC GROUP, LLC
Active
Organization
MAPLE LTC GROUP, LLC
Active
Other names
Highland Acres Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
1170 LINKHAW RD, LUMBERTON, NC 28358-2524
(910) 671-1163
(910) 671-1448
Mailing address
1435 HIGHWAY 258N, KINSTON, NC 28504-7208
(252) 523-9094
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NH0472
NC
313M00000X
Nursing Facility/Intermediate Care Facility
NH0472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805285
—
NC
05
—
7806630
—
NC
Enumeration date
12/20/2007
Last updated
03/24/2020
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