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Willow Creek Group Home, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri
NPI 1922141068

Willow Creek Group Home, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Adrian, MO. Willow Creek Group Home, Inc. practices in Adrian, MO. The NPI Number for Willow Creek Group Home, Inc. is 1922141068 and holds a License No. (Missouri).

The current practice location address for Willow Creek Group Home, Inc. is Rr 2 Box 27, Adrian, MO and can be reached out via phone at 816-297-8956 and via fax at 816-297-4032.

Location: Rr 2 Box 27, Adrian, MO, 64720-9587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922141068
Provider Name
Willow Creek Group Home, Inc.
Credential
Provider Entity Type
Organization
Address
Rr 2 Box 27, Adrian, MO, 64720-9587
Phone Number
816-297-8956
Fax Number
816-297-4032
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Rr 2 Box 27
City
Adrian
State
Missouri
Zip
64720-9587
Phone Number
816-297-8956
Fax Number
816-297-4032
person
Provider Business Mailing Address Details
Address
Rr 2 Box 27
City
Adrian
State
Missouri
Zip
64720-9587
Phone Number
816-297-8956
Fax Number
816-297-4032
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.
(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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