| NPI | 1124028519 |
|---|---|
| Doing Business As | MAPLE LANE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBBRA R KESSEN Accountant/Controller 715-526-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2579) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-09-10 |