Organization · Type 2 NPI

Maple Ridge at Kenansville, LLC

Assisted Living Facility · Kenansville, NC

NPI number 1154905446 Active

Practice location

329 Cooper Street
Kenansville, NC 28349

Mailing address

505 Ariana Ave
Auburndale, FL 33823-4139

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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About NPI 1154905446

Maple Ridge at Kenansville, LLC's National Provider Identifier is 1154905446, issued on May 12, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kenansville, NC. The record was last updated on May 17, 2021.