| NPI | 1407735095 |
|---|---|
| Doing Business As | WILLOW GROVE |
| Entity Type | Organization |
| Authorized Contact | RYAN KNUDSON CEO/President 509-954-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |