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Willow Road Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Macon, North Carolina
NPI 1730366089

Willow Road Facility is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Macon, NC. Willow Road Facility practices in Macon, NC. The NPI Number for Willow Road Facility is 1730366089 and holds a License No. MHL-093-034 (North Carolina).

The current practice location address for Willow Road Facility is 474 Macon Embro Rd, Macon, NC and can be reached out via phone at 252-257-1814.

Location: 474 Macon Embro Rd, Macon, NC, 27551-9285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730366089
Provider Name
Willow Road Facility
Credential
Provider Entity Type
Organization
Address
474 Macon Embro Rd, Macon, NC, 27551-9285
Phone Number
252-257-1814
Fax Number
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804755 05 NC
3418365 05 NC
institution
Provider Business Practice Location Address Details
Address
474 Macon Embro Rd
City
Macon
State
North Carolina
Zip
27551-9285
Phone Number
252-257-1814
Fax Number
person
Provider Business Mailing Address Details
Address
474 Macon Embro Rd
City
Macon
State
North Carolina
Zip
27551-9285
Phone Number
252-257-1814
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-093-034 (North Carolina)
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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