Organization
WILLOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE HARTMAN (OPERATOR)
(816) 244-9233
Entity
Organization
Contact information
Practice address
2125 HIGHWAY 36, WATHENA, KS 66090-4126
(816) 244-9233
(785) 990-4664
Mailing address
2125 HIGHWAY 36, WATHENA, KS 66090-4126
(816) 244-9233
(785) 990-4664
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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