Willow Manor
NPI #1972999571 in Chocowinity, North Carolina
Provider Information
- NPI Number
- 1972999571
- Entity Type
- Organization
- Organization Name
- Willow Manor
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 9, 2015
- Last Updated
- Apr 9, 2015
Practice Location
- Address
- 4288 US HIGHWAY 17 S
- City
- Chocowinity
- State
- North Carolina
- ZIP Code
- 27817-8434
- Phone
- (252) 946-2604
Authorized Official
- Name
- COURTNEY BLOUNT
- Title
- OWNER
- Phone
- (252) 402-5317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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