Al Willow Tree, LLC

NPI #1205096500 in Butler, Alabama

Provider Information

NPI Number
1205096500
Entity Type
Organization
Organization Name
Al Willow Tree, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GULF COAST FACILITIES, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 11, 2008
Last Updated
Oct 5, 2015

Practice Location

Address
1406 E PUSHMATAHA ST
City
Butler
State
Alabama
ZIP Code
36904-2728
Phone
(205) 459-5506

Authorized Official

Name
JAMES RICHARDSON
Title
PRESIDENT
Phone
(850) 430-0000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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