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Organization

WISCONSIN ILLINOIS SENIOR HOUSING INC.

Active
Other names
Maple Ridge Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE SHERMAN MA, NHA (COO)
(303) 980-0611
Entity
Organization

Contact information

Practice address
510 1ST ST, SPOONER, WI 54801-1241
(715) 635-1412
(715) 635-7498
Mailing address
510 1ST ST, SPOONER, WI 54801-1241
(715) 635-1412
(715) 635-7498

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
WI

Other

Enumeration date
03/12/2015
Last updated
05/13/2020
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