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Willow Creek Isl, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Adrian, Missouri
NPI 1538281019

Willow Creek Isl, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Adrian, MO. Willow Creek Isl, Llc practices in Adrian, MO. The NPI Number for Willow Creek Isl, Llc is 1538281019 and holds a License No. 855188900 (Missouri).

The current practice location address for Willow Creek Isl, Llc is 1008 Edith Ave., Adrian, MO and can be reached out via phone at 816-225-8214 and via fax at 816-297-4032.

Location: 1008 Edith Ave., Adrian, MO, 64720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538281019
Provider Name
Willow Creek Isl, Llc
Credential
Provider Entity Type
Organization
Address
1008 Edith Ave., Adrian, MO, 64720
Phone Number
816-225-8214
Fax Number
816-297-4032
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1008 Edith Ave.
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-225-8214
Fax Number
816-297-4032
person
Provider Business Mailing Address Details
Address
1008 Edith Ave.
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-225-8214
Fax Number
816-297-4032
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
855188900 (Missouri)
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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