Organization · Type 2 NPI

Willow Creek Isl, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Adrian, MO

NPI number 1871897017 Active

Practice location

1008 Edith Ave.
Adrian, MO 64720

Call (816) 225-8214 Map

Fax (816) 297-8956

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X134112203 (MO)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1871897017

Willow Creek Isl, LLC's National Provider Identifier is 1871897017, issued on Jan 3, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Adrian, MO. The record was last updated on Jan 28, 2022.