Organization
WILLOW MANOR INVESTORS INC
Active
Other names
Willow Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK IDE (PARTNER)
(317) 670-1577
Entity
Organization
Contact information
Practice address
1321 WILLOW ST, VINCENNES, IN 47591-4205
(812) 882-1136
(812) 882-7251
Mailing address
1321 WILLOW ST, VINCENNES, IN 47591-4205
(812) 882-1136
(812) 882-7251
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
06-000004
IN
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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