Organization
NORTHERN HEALTH FACILITIES, INC.
Active
Other names
Maple Wood Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JO MAASEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
1645 MAPLEWOOD DR, STREETSBORO, OH 44241-5662
(330) 626-3031
(330) 626-2699
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007563
—
OH
Enumeration date
11/13/2006
Last updated
02/25/2008
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