| NPI | 1518156603 |
|---|---|
| Doing Business As | MAPLE LANE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | TRAVIS BERGERON Administrator 802-754-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 0475044) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2025-08-27 |