Willow Creek Isl in Adrian - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Willow Creek Isl - NPI 1326261595
Willow Creek Isl is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Adrian, Missouri. Willow Creek Isl practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Willow Creek Isl is 1326261595. The last update date is 2020-08-22.
Willow Creek Isl's current location address is Rr 2 Box 27, Adrian, Missouri. You can contact this provider via phone number 8162978956. The mailing address for Willow Creek Isl is Rr 2 Box 27, Adrian, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek Isl |
|---|---|
| Address | Rr 2 Box 27, Adrian, Missouri |
| Phone Number | 8162978956 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stephens Sue Jeanie |
| Telephone Number | 8162978956 |
NPI Number Detail
| NPI Number | 1326261595 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Rr 2 Box 27 |
|---|---|
| City | Adrian |
| State | Missouri (MO) |
| Post Code | 647209587 |
| Phone Number | 8162978956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Willow Creek Isl by the Centers for Medicare & Medicaid Services?
The Willow Creek Isl has been assigned the NPI (National Provider Identifier) 1326261595. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Willow Creek Isl?
The Willow Creek Isl is physically situated at Rr 2 Box 27, in the city of Adrian, state of MO, with the postal code 647209587.
What is Willow Creek Isl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Willow Creek Isl is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326261595 to Willow Creek Isl?
The Centers for Medicare & Medicaid Services originally issued the 1326261595 to Willow Creek Isl on 2007-04-10.
As of what date were the details related to Willow Creek Isl most recently updated or revised?
The information pertaining to Willow Creek Isl, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.