| NPI | 1134549645 |
|---|---|
| Doing Business As | WILLOWBROOK MANOR REST HOME |
| Entity Type | Organization |
| Authorized Contact | ANNETTE FERNANDEZ President 502-649-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |