Organization
WILLOW HEALTH CARE INC
Active
Parent organization
WILLOW HEALTH CARE INC
Other names
Brooke Haven Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW HEALTH CARE INC
Authorized official
MRS. SHERRY MILLER CPA (CHIEF FINANCIAL OFFICER)
(417) 469-3152
Entity
Organization
Contact information
Practice address
1410 N KENTUCKY AVE, WEST PLAINS, MO 65775-1822
(417) 256-7975
(417) 469-3443
Mailing address
PO BOX 309, WILLOW SPRINGS, MO 65793
(417) 469-3152
(417) 469-3443
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
031482
MO
314000000X
Skilled Nursing Facility
Primary
036773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101763100
—
MO
Enumeration date
08/03/2005
Last updated
12/18/2009
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