Organization
WILLOW GARDEN OF HANNIBAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM RIBIAT (MANAGER)
(847) 555-0101
Entity
Organization
Contact information
Practice address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
(573) 221-6000
(573) 221-6172
Mailing address
1600 AVE OF THE STATES STE 309, LAKEWOOD, NJ 08701-5181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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