| NPI | 1598378796 |
|---|---|
| Doing Business As | WILLOW CREEK LODGE |
| Entity Type | Organization |
| Authorized Contact | HOUSTON MCGUIRE Administrator 325-453-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-02-03 |