Organization · Type 2 NPI
Willow Creek Assisted Living
Developmental Disabilities Clinic/Center · Willow, AK
Practice location
23281 W. Willow Fishhok Rd
Willow, AK 99688-0558
Fax (907) 495-9199
Mailing address
23281 W. Willow Fishook Rd, PO Box 558
Willow, AK 99688-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | 100142 (AK) |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1710132345
Willow Creek Assisted Living's National Provider Identifier is 1710132345, issued on Nov 24, 2008. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Willow, AK. The record was last updated on Nov 24, 2008.