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Organization
WILLOWBROOK WEST LLC
Active
Organization
WILLOWBROOK WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EAMON BURGESS (CEO)
(614) 440-4393
Entity
Organization
Contact information
Practice address
507 NW HALL OF FAME DR, LAKE CITY, FL 32055-4835
(386) 755-6560
Mailing address
1309 NEIL AVE, COLUMBUS, OH 43201-3121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
03/22/2019
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