Organization
MAPLE LANE HEALTH & REHABILITATION CENTER LLC
Active
Other names
D/B/A ATRIUM POST ACUTE CARE OF SHAWANO AT MAPLE LANE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M PARKINS (CFO)
(920) 364-9754
Entity
Organization
Contact information
Practice address
N4231 STATE HIGHWAY 22, SHAWANO, WI 54166-6130
(715) 526-3158
(715) 526-6823
Mailing address
1726 N BALLARD RD, APPLETON, WI 54911-2444
(920) 991-9072
(920) 749-4022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2579
WI
Other
Enumeration date
03/04/2010
Last updated
05/27/2015
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