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Willow Creek Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri
NPI 1942544820

Willow Creek Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Adrian, MO. Willow Creek Group Home practices in Adrian, MO. The NPI Number for Willow Creek Group Home is 1942544820 and holds a License No. WC2-0252-0712 (Missouri).

The current practice location address for Willow Creek Group Home is Rural Route 2, Box 27, Adrian, MO and can be reached out via phone at 816-297-4256 and via fax at 816-297-8956.

Location: Rural Route 2, Box 27, Adrian, MO, 64720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942544820
Provider Name
Willow Creek Group Home
Credential
Provider Entity Type
Organization
Address
Rural Route 2, Box 27, Adrian, MO, 64720
Phone Number
816-297-4256
Fax Number
816-297-8956
Provider Enumeration Date
11/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
320900000X 05 MO
institution
Provider Business Practice Location Address Details
Address
Rural Route 2, Box 27
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-297-4256
Fax Number
816-297-8956
person
Provider Business Mailing Address Details
Address
Rural Route 2, Box 27
City
Adrian
State
Missouri
Zip
64720
Phone Number
816-297-4256
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.
WC2-0252-0712 (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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