| Maplewood Homes Assisted Living | |
|
326 7th St Nw Faribault MN 55021-4271 | |
| (507) 332-4071 | |
| Not Available |
| Full Name | Maplewood Homes Assisted Living |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 326 7th St Nw, Faribault, Minnesota |
| Authorized Official Name and Position | John Arthur Wallgren (OWNER) |
| Authorized Official Contact | 5073324071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maplewood Homes Assisted Living 326 7th St Nw Faribault MN 55021-4271 Ph: (507) 332-4071 | Maplewood Homes Assisted Living 326 7th St Nw Faribault MN 55021-4271 Ph: (507) 332-4071 |
| NPI Number | 1952466005 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952466005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 332188 (Minnesota) | Primary |
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