| Maple Ridge Living Center | |
|
2575 W Houghton Lake Rd Lake City MI 49651-8820 | |
| (231) 839-1011 | |
| Not Available |
| Full Name | Maple Ridge Living Center |
|---|---|
| Speciality | Clinic/center |
| Location | 2575 W Houghton Lake Rd, Lake City, Michigan |
| Authorized Official Name and Position | Jamie Kunkel (ADMINISTRATOR/LICENSEE) |
| Authorized Official Contact | 2318391011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Ridge Living Center 2575 W Houghton Lake Rd P.o. Box 677 Lake City MI 49651-8820 Ph: () - | Maple Ridge Living Center 2575 W Houghton Lake Rd Lake City MI 49651-8820 Ph: (231) 839-1011 |
| NPI Number | 1205183449 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205183449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AL570303169 (Michigan) | Primary |
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