| NPI | 1386990109 |
|---|---|
| Doing Business As | WILLOWDALE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | STEVE VAN CAMP CFO Of Asc 317-788-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2020-09-25 |