# WILLOW BRIDGE LLC

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

## Provider details

- **NPI number:** 1760126320
- **Authorized official:** MOMODOU SOWE (MANAGER)
- **Authorized official phone:** (202) 507-9826

## Contact information

- **Practice address:** 2311 E DIVISION ST, MOUNT VERNON, WA 98274-4791
- **Practice address phone:** (425) 678-3339
- **Mailing address:** PO BOX 214, MUKILTEO, WA 98275-0214
- **Mailing address phone:** (425) 760-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022