Willowtree Isl in Columbia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Willowtree Isl - NPI 1083890958
Willowtree Isl is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Columbia, Missouri. Willowtree Isl practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Willowtree Isl is 1083890958. The last update date is 2008-01-10.
Willowtree Isl's current location address is 5015 S Cowan Loop, Columbia, Missouri. You can contact this provider via phone number 5738757819. The mailing address for Willowtree Isl is 5015 S Cowan Loop, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowtree Isl |
|---|---|
| Address | 5015 S Cowan Loop, Columbia, Missouri |
| Phone Number | 5738757819 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ney R. Lorrie |
| Telephone Number | 5738757819 |
NPI Number Detail
| NPI Number | 1083890958 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 5015 S Cowan Loop |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652019781 |
| Phone Number | 5738757819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identification code assigned to Willowtree Isl by the Centers for Medicare & Medicaid Services?
The Willowtree Isl has been issued the NPI (National Provider Identifier) 1083890958, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Willowtree Isl is geographically located?
The Willowtree Isl is physically situated at the following location: 5015 S Cowan Loop, Columbia, MO, 652019781.
What is Willowtree Isl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willowtree Isl's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
When did Willowtree Isl receive its 1083890958 assignment?
The Willowtree Isl was assigned its 1083890958 on 2008-01-10, which is the date when this unique identifier was issued to the organization.
When was the information regarding Willowtree Isl, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Willowtree Isl, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-10.
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