Maple Hollow Rehabilitation and Nursing LLC

NPI #1114492519 in Portland, Oregon

Provider Information

NPI Number
1114492519
Entity Type
Organization
Organization Name
Maple Hollow Rehabilitation and Nursing LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Oct 11, 2018
Last Updated
Oct 11, 2018

Practice Location

Address
34 NE 20TH AVE
State
Oregon
ZIP Code
97232-3019
Phone
(503) 231-0276

Authorized Official

Name
WALTER ERIC MYERS
Title
MANAGING MEMBER
Phone
(801) 709-4358

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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