| NPI | 1568434629 |
|---|---|
| Doing Business As | MAPLE LANE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | TRAVIS BERGERON Director Of Operations 802-754-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-08-27 |