| NPI | 1629425491 |
|---|---|
| Doing Business As | WILLOW RIDGE OF NC |
| Entity Type | Organization |
| Authorized Contact | JACOB S. STERN Manager 732-659-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |