| NPI | 1285626150 |
|---|---|
| Doing Business As | WILLOW TRACE NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT J BELL CEO President 850-430-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10483) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-08-06 |