| NPI | 1205096500 |
|---|---|
| Doing Business As | WILLOW TRACE HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARDSON President 850-430-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-10-05 |