| NPI | 1912954579 |
|---|---|
| Doing Business As | WILLOW BROOKE |
| Entity Type | Organization |
| Authorized Contact | KYLE SCHADE Treasurer 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-07-26 |