Organization
NORTHEAST LEASING CO., LLC
Active
Other names
Maple Wood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STOLTZ (CFO)
(513) 530-1613
Entity
Organization
Contact information
Practice address
724 NE 79TH TER, KANSAS CITY, MO 64118-1564
(816) 436-8940
(813) 436-9289
Mailing address
724 NE 79TH TER, KANSAS CITY, MO 64118-1564
(816) 436-8940
(813) 436-9289
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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