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Organization

WILLOW HEALTH CARE INC

Active
Other names
Willow West Apartments
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACKIE WILLIAMSON (MEDICARE COORDINATOR)
(417) 469-3152
Entity
Organization

Contact information

Practice address
2644 STATE ROUTE 76, WILLOW SPRINGS, MO 65793-8254
(417) 469-3152
(417) 469-5304
Mailing address
2644 STATE ROUTE 76, WILLOW SPRINGS, MO 65793-8254
(417) 469-3152
(417) 469-5304

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261474118
MO
Enumeration date
02/01/2007
Last updated
06/16/2008
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