| NPI | 1528665056 |
|---|---|
| Doing Business As | WILLMAR ICF-MR |
| Entity Type | Organization |
| Authorized Contact | DEBRA J SHRIVER Owner/CEO 320-231-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |