| NPI | 1568839710 |
|---|---|
| Doing Business As | WILLOW CREEK REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-04-12 |