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Organization
WILLOW MANOR INVESTORS INC
Active
Organization
WILLOW MANOR INVESTORS INC
Active
Other names
Willow Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK IDE (PARTNER)
(317) 670-1577
Entity
Organization
Contact information
Practice address
1321 WILLOW ST, VINCENNES, IN 47591-4205
(812) 882-1136
(812) 882-7251
Mailing address
1321 WILLOW ST, VINCENNES, IN 47591-4205
(812) 882-1136
(812) 882-7251
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
06-000004
IN
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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