NPI 1730301870

Maplewood

Organisation Assisted Living Facility Bridgeport, WV

Practice location

Address: 1000 South Maplewood Drive, Bridgeport, WV 26330
Phone: (304) 848-0200
Fax: (503) 485-1279
Mailing address: PO Box 3006, Salem, OR 97302

Authorised official

Name: Jon Harder
Title: President
Phone: (503) 485-8697

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in West Virginia →

Registry record

NPI: 1730301870
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.