NPI 1184020612

Maple Manor Nursing and Rehab LLC

Organisation Skilled Nursing Facility Rochester, MN

Practice location

Address: 1875 19th St NW, Rochester, MN 55901-1633
Phone: (507) 282-9449
Mailing address: 8170 McCormick Blvd STE 112, Skokie, IL 60076-2961

Authorised official

Name: Max Stesel
Title: Member
Phone: (773) 825-3336

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1184020612
Entity type: Organization
NPI issued: 11 Nov 2014
Record last updated: 16 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.