Willow Place Living Center, LLC
NPI #1366524423 in Wetumka, Oklahoma
Provider Information
- NPI Number
- 1366524423
- Entity Type
- Organization
- Organization Name
- Willow Place Living Center, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jan 12, 2023
Practice Location
Authorized Official
- Name
- MRS. DONNA R SIMMONS
- Title
- OFFICE MANAGER
- Phone
- (405) 380-6671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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