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Maple Place Living Center, LLC

NPI 1558446823ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Wetumka, OK

Intermediate Care Facility, Intellectual Disabilities in Wetumka, Oklahoma, registered in NPPES in October 2006. The authorized official on file is Donna R. Simmons, Office Manager.

Overview

NPI1558446823
StatusActive
Entity typeOrganization
NPI issuedOct 26, 2006
Last updated in NPPESJan 12, 2023
Certified by providerJan 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Intellectual Disabilities Primary315P00000XNH3207-3207OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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