NPI | 1821553595 |
---|---|
Doing Business As | WILLOW CREEK HEALTHCARE CENTRE |
Entity Type | Organization |
Authorized Contact | MARK LAZAR Authorized Representative 323-651-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-02-06 |
Last Update Date | 2020-10-09 |