Willow Tree, Llc is a Clinical in Neodesha, Kansas. Willow Tree, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willow Tree, Llc is 1346405529. The last update date is 2008-07-31.
Willow Tree, Llc's current location address is 4922 Oak Hill Dr, Neodesha, Kansas. You can contact this provider via phone number 6203253187. The mailing address for Willow Tree, Llc is 4922 Oak Hill Dr, Neodesha, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Tree, Llc |
|---|---|
| Address | 4922 Oak Hill Dr, Neodesha, Kansas |
| Phone Number | 6203253187 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hudson B. Connie |
| Credentials | LSCSW |
| Telephone Number | 6203253187 |
NPI Number Detail
| NPI Number | 1346405529 |
|---|---|
| Provider Enumeration Date | 2008-07-27 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 4922 Oak Hill Dr |
|---|---|
| City | Neodesha |
| State | Kansas (KS) |
| Post Code | 667571790 |
| Phone Number | 6203253187 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2450 |
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What is the unique identification code assigned to Willow Tree, Llc by the Centers for Medicare & Medicaid Services?
The Willow Tree, Llc has been issued the NPI (National Provider Identifier) 1346405529. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Willow Tree, Llc located?
The Willow Tree, Llc is located at 4922 Oak Hill Dr, Neodesha, KS 667571790.
What is Willow Tree, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Tree, Llc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Willow Tree, Llc receive its 1346405529 assignment from the Centers for Medicare & Medicaid Services?
The Willow Tree, Llc was assigned its 1346405529 by the Centers for Medicare & Medicaid Services on 2008-07-27.
As of what date were the Willow Tree, Llc's details last updated?
The information pertaining to the Willow Tree, Llc, including its address, specialty, and other details, was most recently updated on 2008-07-31.