Organization · Type 2 NPI

Willow Creek Group Home

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

NPI number 1942544820 Active

Practice location

Rural Route 2, Box 27
Adrian, MO 64720

Fax (816) 297-8956

Mailing address

1007 Old 71 Highway
Adrian, MO 64720

Specialties and licenses

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 1942544820

Willow Creek Group Home's National Provider Identifier is 1942544820, issued on Nov 16, 2012. 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 Nov 16, 2012.