NPI | 1114196771 |
---|---|
Doing Business As | WILLOWBROOK NURSING CENTER |
Entity Type | Organization |
Authorized Contact | GARY BLAKE Managing Member 817-348-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2008-02-27 |
Last Update Date | 2015-02-06 |