Organization
MAZE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEANA BLACKMON (OWNER/OPERATOR)
(920) 905-3584
Entity
Organization
Contact information
Practice address
609 MARSHALL ST, MANITOWOC, WI 54220-5333
(920) 905-3584
Mailing address
609 MARSHALL ST, MANITOWOC, WI 54220-5333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/26/2026
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