| NPI | 1922004548 |
|---|---|
| Doing Business As | DBA: MAPLE WOODS MANOR |
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN TRUSSELL Office Manager 810-686-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 254030) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-07-10 |