Organization
TI-WILLOW HAVEN
Active
Other names
Willow Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH C TUTERA (OWNER)
(816) 444-0900
Entity
Organization
Contact information
Practice address
1703 STONEWALL RD, LAURINBURG, NC 28352-9706
(910) 276-9211
(910) 276-4535
Mailing address
1703 STONEWALL RD, LAURINBURG, NC 28352-9706
(910) 276-9211
(910) 276-4535
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL083012
NC
Other
Enumeration date
11/01/2006
Last updated
01/15/2016
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