Organization
WILLOW BLUFF LLC
Active
Other names
The Willows of Kilgore
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA SCALCO LNFA (ADMINISTRATOR)
(903) 983-7775
Entity
Organization
Contact information
Practice address
1901 WHIPPORWILL LN, KILGORE, TX 75662-3880
(903) 983-7775
Mailing address
1901 WHIPPORWILL LN, KILGORE, TX 75662-3880
(903) 983-7775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114059
TX
Other
Enumeration date
12/08/2005
Last updated
08/22/2020
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