NPI 1902131543

Maplecrest Manor INC.

Organisation Assisted Living Facility Ripon, WI

Practice location

Address: 150 N Douglas St, Ripon, WI 54971-2012
Phone: (920) 748-7300
Mailing address: W304n1860 Maple Ave, Pewaukee, WI 53072-4709

Authorised official

Name: Delbert William Vanstone
Title: President
Phone: (414) 254-1495

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10341 (WI)

Other Assisted Living Facility providers in Wisconsin →

Registry record

NPI: 1902131543
Entity type: Organization
NPI issued: 15 Oct 2009
Record last updated: 15 Oct 2009

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.