Organization
LAKE ISLAND HEALTHCARE, INC.
Active
Other names
Willow Tree Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Mailing address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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