Organization
WILLOW GROVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY GILBERT MATTSON (CEO, PRESIDENT)
50946711135
Entity
Organization
Contact information
Practice address
1620 E MEAD ST, SPOKANE, WA 99218-1772
(509) 467-1135
(509) 468-7906
Mailing address
1620 E MEAD ST, SPOKANE, WA 99218-1772
(509) 467-1135
(509) 468-7906
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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