Maple Lane Health Care Center

LBN: County Of Shawano
Maple Lane Health Care Center is an health care organization with primary practice located at N4231 State Highway 22 , Shawano WI 54166-6130. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. County Of Shawano can be contacted via phone (715) 526-3158, or through Kessen, Debbra R via phone (715) 526-3158.

Contact Information

Primary practice address
N4231 State Highway 22 Shawano WI 54166-6130
Phone: (715) 526-3158
Fax: (715) 526-6823
Website:
Map and Directions
Authorized official contact:
Name: Kessen, Debbra R
Phone: (715) 526-3158

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2994 Wisconsin

Profile Details

NPI number 1720088495
LBN Legal business name County Of Shawano
DBA Doing business as Maple Lane Health Care Center
Authorized official Kessen, Debbra R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720088495 NPPES
Wisconsin MEDICAID 21051100

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