Maple Winds Care Center Co. LLC
NPI #1851397707 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1851397707
- Entity Type
- Organization
- Organization Name
- Maple Winds Care Center Co. LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Feb 24, 2010
Practice Location
- Address
- 4112 SPRINGHILL ROAD
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946
- Phone
- (814) 736-6000
Authorized Official
- Name
- MR. JERRY WILLIAM OTTO, NHA
- Title
- ADMINISTRATOR
- Phone
- (814) 736-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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