MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.
Skilled Nursing Facility
Maple City, Michigan
Provider NPI: 1144223587
Organization Information:Organization Name: MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.
Practice Location:
1086 W BURDICKVILLE RD MAPLE CITY, MI 49664 US
Tel: 231-228-5895 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1086 W BURDICKVILLE RD MAPLE CITY, MI 49664 US
Tel: 231-228-5895 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 454010 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBSM PROVIDER ID | 09960 | MI | 01 |
1909799 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin