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Willow Creek Isl, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri
NPI 1871897017

Willow Creek Isl, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Adrian, MO. Willow Creek Isl, Llc practices in Adrian, MO. The NPI Number for Willow Creek Isl, Llc is 1871897017 and holds a License No. 134112203 (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 816-297-8956.

Location: 1008 Edith Ave., Adrian, MO, 64720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871897017
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
816-297-8956
Provider Enumeration Date
01/03/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1008 Edith Ave.
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-225-8214
Fax Number
816-297-8956
person
Provider Business Mailing Address Details
Address
1008 Edith Ave.
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-225-8214
Fax Number
816-297-8956
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
134112203 (Missouri)
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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