| NPI | 1346449451 |
|---|---|
| Doing Business As | WILLOW TREE MANOR |
| Entity Type | Organization |
| Authorized Contact | STEPHEN P BELLONE Managing Director 410-625-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 25) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-12-02 |