Organization
MAPLE MANOR NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J KUTZ (OWNER)
(715) 561-3200
Entity
Organization
Contact information
Practice address
102 2ND ST, ONTONAGON, MI 49953-1337
(906) 884-2882
(906) 884-2885
Mailing address
300 VILLA DR, HURLEY, WI 54534-1523
(715) 561-3200
(715) 561-5556
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
664020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082408
—
MI
Enumeration date
09/29/2005
Last updated
08/07/2007
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