| NPI | 1780758904 |
|---|---|
| Doing Business As | WILLOW CREEK RETIREMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID ROTOLO Member 601-853-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 926) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-20 |