Organization
EXTENDICARE HEALTH FACILITIES, INC.
Active
Other names
Maple Ridge Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MAASSEN (DIRECTOR OF CORPORATE COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
Mailing address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3212
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20198600
—
WI
Enumeration date
05/25/2006
Last updated
04/11/2008
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