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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