NPI | 1497890685 |
---|---|
Doing Business As | WILLOWBROOK MANOR REST HOME |
Entity Type | Organization |
Authorized Contact | MARSHA TRAGER President 508-376-5083 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-08-01 |