MAPLE PLACE LIVING CENTER, LLC is an intermediate care facility mentally retarded in Wetumka, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MAPLE PLACE LIVING CENTER, LLC NPI is 1558446823. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Place.
The provider's business location address is:
620 S ALABAMA ST
WETUMKA, OK
ZIP 74883-033
Phone: (405) 452-3271
Fax: (405) 452-5154
The provider's authorized official is Donna R Simmons .
The authorized official title is Office Manager and has the following contact phone number (405) 380-6671.
The CLIA number assigned to this NPI record is 37D1035872 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/12/2023.