| NPI | 1306914973 |
|---|---|
| Doing Business As | WILLOW MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MARK IDE Partner 317-670-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 06-000004) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |