Organization
MAPLE MANOR NURSING AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX STESEL (MEMBER)
(773) 825-3336
Entity
Organization
Contact information
Practice address
1875 19TH ST NW, ROCHESTER, MN 55901-1633
(507) 282-9449
Mailing address
8170 MCCORMICK BLVD, STE 112, SKOKIE, IL 60076-2961
(773) 825-3336
(773) 570-4554
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843242200
—
MN
Enumeration date
11/11/2014
Last updated
09/16/2020
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