Willow Bluff LLC

NPI #1336124643 in Kilgore, Texas

Provider Information

NPI Number
1336124643
Entity Type
Organization
Organization Name
Willow Bluff LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 8, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1901 WHIPPORWILL LN
State
Texas
ZIP Code
75662-3880
Phone
(903) 983-7775

Authorized Official

Name
MRS. SONDRA SCALCO, LNFA
Title
ADMINISTRATOR
Phone
(903) 983-7775

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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