Organization · Type 2 NPI

Maple Ridge Retirement & Assisted Living Community LLC

Point of Service · Freeland, WA

NPI number 1871774455 Active

Practice location

1767 Alliance Ave
Freeland, WA 98249-9448

Call (360) 331-1303 Map

Fax (360) 331-1363

Mailing address

3220 State St, Suite 200
Salem, OR 97301-6872

Specialties and licenses

Taxonomy	Code	License
Point of Service Primary	305S00000X	1966 (WA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

NPI record

NPI: 1871774455
Entity type: Organization (Type 2)
Issued: Nov 23, 2007
Last updated: Nov 23, 2007
Status: Active

Other names

<unavail>
Maple Ridge Retirement & Assisted Living Community · doing business as

Authorized official

Mr. Kelley D Hamilton
CEO/president of Management Company
(503) 373-3125

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871774455

Maple Ridge Retirement & Assisted Living Community LLC's National Provider Identifier is 1871774455, issued on Nov 23, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Freeland, WA. The record was last updated on Nov 23, 2007.