| NPI | 1619287273 |
|---|---|
| Doing Business As | THE WILLOWS OF KILGORE |
| Entity Type | Organization |
| Authorized Contact | RONALD R PAYNE Manager 469-916-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-11-08 |