# WILLOW HOME CARE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013143304
- **Authorized official:** HERMINIA MANABAT P.T. (PRESIDENT)
- **Authorized official phone:** (815) 508-5253

## Contact information

- **Practice address:** 13246 S ROUTE 59 STE 102, PLAINFIELD, IL 60585-9801
- **Practice address phone:** (815) 230-3910
- **Practice address fax:** (815) 230-3930
- **Mailing address:** 13246 S ROUTE 59 STE 102, PLAINFIELD, IL 60585-9801
- **Mailing address phone:** (815) 230-3910
- **Mailing address fax:** (815) 230-3930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070008654 | IL | — |
| 225100000X | Physical Therapist | 070011699 | IL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 04/03/2013