Organization
WCRL, LLC
Active
Other names
Willow Creek Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROTOLO (MEMBER)
(601) 853-2667
Entity
Organization
Contact information
Practice address
49 WILLOW CREEK LN, JACKSON, MS 39272-9255
(601) 863-4201
(601) 863-4202
Mailing address
PO BOX 2712, RIDGELAND, MS 39158-2712
(601) 853-2667
(601) 853-2116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
926
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230143
—
MS
Enumeration date
11/20/2006
Last updated
02/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us