Organization
SAN LUIS HEALTH CARE LLC
Active
Other names
Maple Ridge Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 631-3000
Entity
Organization
Contact information
Practice address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-5231
(920) 494-1958
Mailing address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-5231
(920) 494-1958
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IA
Other
Enumeration date
03/08/2014
Last updated
12/02/2015
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