| NPI | 1760484968 |
|---|---|
| Other Name | WILLOWBROOK |
| Entity Type | Organization |
| Authorized Contact | RONALD M. HANEY General Partner 936-634-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110594) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-02-26 |