Organization
MAPLECREST MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELBERT WILLIAM VANSTONE (PRESIDENT)
(414) 254-1495
Entity
Organization
Contact information
Practice address
150 N DOUGLAS ST, RIPON, WI 54971-2012
(920) 748-7300
Mailing address
W304N1860 MAPLE AVE, PEWAUKEE, WI 53072-4709
(414) 254-1495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10341
WI
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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