Maple Manor Rehabilitation Center Llc

LBN: Maple Manor Rehabilitation Center Llc
Maple Manor Rehabilitation Center Llc is an health care organization with primary practice located at 3999 Venoy Rd , Wayne MI 48184-1485. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Maple Manor Rehabilitation Center Llc can be contacted via phone (734) 727-0440, or through Evangelista, Stella via phone (734) 727-0440.

Contact Information

Primary practice address
3999 Venoy Rd Wayne MI 48184-1485
Phone: (734) 727-0440
Fax: (734) 727-0441
Website:
Map and Directions
Authorized official contact:
Name: Evangelista, Stella Doctor of Medicine (MD)
Phone: (734) 727-0440

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 235613 Michigan

Profile Details

NPI number 1053306019
LBN Legal business name Maple Manor Rehabilitation Center Llc
DBA Doing business as
Authorized official Evangelista, Stella Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053306019 NPPES
Michigan Other 09896 BCBS

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