Lake Grove Maple Valley
Residential Treatment Facility, Emotionally Disturbed Children in Wendell, Massachusetts
1841468980- Practice location
- 6 Farley RD, Wendell, MA 01379-9706
- Phone
- 978-544-6913
- Fax
- 978-544-8672
- Last updated
- February 12, 2008
Lake Grove Maple Valley is a healthcare organization based in Wendell, MA. Lake Grove Maple Valley practices in Wendell, MA. The NPI Number for Lake Grove Maple Valley is 1841468980. The current practice location address for Lake Grove Maple Valley is 6 Farley RD, Wendell, MA 01379-9706 and can be reached out via phone at 978-544-6913 and via fax at 978-544-8672.
Provider Profile Details
- NPI Number
- 1841468980
- Provider Name
- Lake Grove Maple Valley
- Provider Entity Type
- Organization
- Address
- 6 Farley RD, Wendell, MA 01379-9706
- Phone Number
- 978-544-6913
- Fax Number
- 978-544-8672
- Primary Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- Organization Subpart
- Yes
- Parent Organization
- Windwood Meadow
- Authorized Official
- Mr. Felix Wienclaw · Chief Financial Officer · 631-696-1400
- Provider Enumeration Date
- February 12, 2008
- Last Update Date
- February 12, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Farley RD
Wendell, MA 01379-9706 - City
- Wendell
- State
- Massachusetts
- Zip
- 01379-9706
- Phone Number
- 978-544-6913
- Fax Number
- 978-544-8672
Provider Business Mailing Address Details
- Address
- Po Box 786
Medford, NY 11763-0786 - City
- Medford
- State
- NY
- Zip
- 11763-0786
- Phone Number
- 631-716-2127
- Fax Number
- 631-716-2135
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lake Grove Maple Valley?
The NPI number of Lake Grove Maple Valley is 1841468980. It was assigned on February 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Lake Grove Maple Valley?
Lake Grove Maple Valley is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X).
Where does Lake Grove Maple Valley practice?
The practice location is 6 Farley RD, Wendell, MA 01379-9706. The office can be reached at 978-544-6913 (phone) or 978-544-8672 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841468980 directly on the NPPES registry website.