Organization · Type 2 NPI
Willow Manor
Adult Care Home Facility · Chocowinity, NC
NPI number
1972999571
Active
Practice location
4288 US Highway 17 S
Chocowinity, NC 27817-8434
Mailing address
1220 Pamlico St
Washington, NC 27889-3821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | HAL-007-020 (NC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1972999571
Willow Manor's National Provider Identifier is 1972999571, issued on Apr 9, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Chocowinity, NC. The record was last updated on Apr 9, 2015.