Willow Creek

LBN: Willow Creek
Willow Creek is an health care organization with primary practice located at 525 Fellowship Rd Suite 360, Mount Laurel NJ 08054-3415. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Willow Creek can be contacted via phone (856) 813-2000, or through Clark, Tramell C via phone (856) 813-2000.

Contact Information

Primary practice address
525 Fellowship Rd Suite 360 Mount Laurel NJ 08054-3415
Phone: (856) 813-2000
Fax: (856) 813-2020
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tramell C
Phone: (856) 813-2000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 061808 New Jersey

Profile Details

NPI number 1962528695
LBN Legal business name Willow Creek
DBA Doing business as
Authorized official Clark, Tramell C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 7th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962528695 NPPES
New Jersey MEDICAID 4498607
New Jersey MEDICAID 4499301

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