| NPI | 1114420502 |
|---|---|
| Doing Business As | WILLOWBROOK |
| Entity Type | Organization |
| Authorized Contact | JON SKYLAR BURGESS Secretary/Treasurer 614-565-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9909) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |