| NPI | 1558484659 |
|---|---|
| Doing Business As | MAPLEWOOD LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES E. RICHARDSON C.E.O. 318-445-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |