NPI | 1215588959 |
---|---|
Doing Business As | MAPLETREE HOME |
Entity Type | Organization |
Authorized Contact | JEFFREY ENGELKE President 512-916-1632 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Enumeration Date | 2019-09-24 |
Last Update Date | 2019-09-26 |