Willow Bluff Llc in Kilgore - Skilled Nursing Facility
Willow Bluff Llc - NPI 1336124643
Willow Bluff Llc is a Skilled Nursing Facility in Kilgore, Texas. Willow Bluff Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Willow Bluff Llc is 1336124643. The last update date is 2020-08-22.
Willow Bluff Llc's current location address is 1901 Whipporwill Ln, Kilgore, Texas. You can contact this provider via phone number 9039837775. The mailing address for Willow Bluff Llc is 1901 Whipporwill Ln, Kilgore, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Bluff Llc |
|---|---|
| Address | 1901 Whipporwill Ln, Kilgore, Texas |
| Phone Number | 9039837775 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Scalco Sondra |
| Credentials | LNFA |
| Telephone Number | 9039837775 |
NPI Number Detail
| NPI Number | 1336124643 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1901 Whipporwill Ln |
|---|---|
| City | Kilgore |
| State | Texas (TX) |
| Post Code | 756623880 |
| Phone Number | 9039837775 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 114059 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the Willow Bluff Llc's 1336124643?
The Willow Bluff Llc's NPI (National Provider Identifier) Number is 1336124643. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Willow Bluff Llc?
The Willow Bluff Llc is situated at 1901 Whipporwill Ln, in the city of Kilgore, state of TX, with the zip code 756623880.
What is the Willow Bluff Llc's specialty and taxonomy code?
The Willow Bluff Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Willow Bluff Llc receive its 1336124643 assignment from the Centers for Medicare & Medicaid Services?
The Willow Bluff Llc was assigned its 1336124643 by the Centers for Medicare & Medicaid Services on 2005-12-08.
As of what date was the information pertaining to Willow Bluff Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Willow Bluff Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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