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Organization
MAPLE HOLLOW REHABILITATION AND NURSING LLC
Active
Organization
MAPLE HOLLOW REHABILITATION AND NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ERIC MYERS (MANAGING MEMBER)
(801) 709-4358
Entity
Organization
Contact information
Practice address
34 NE 20TH AVE, PORTLAND, OR 97232-3019
(503) 231-0276
Mailing address
34 NE 20TH AVE, PORTLAND, OR 97232-3019
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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