Willow Creek Group Home South

LBN: Willow Creek Isl, Llc
Willow Creek Group Home South is an health care organization with primary practice located at 1008 Edith Ave. , Adrian MO 64720. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Willow Creek Isl, Llc can be contacted via phone (816) 225-8214, or through Dennison, Christian via phone (816) 225-8214.

Contact Information

Primary practice address
1008 Edith Ave. Adrian MO 64720
Phone: (816) 225-8214
Fax: (816) 297-8956
Website:
Map and Directions
Authorized official contact:
Name: Dennison, Christian
Phone: (816) 225-8214

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 134112203 Missouri

Profile Details

NPI number 1871897017
LBN Legal business name Willow Creek Isl, Llc
DBA Doing business as Willow Creek Group Home South
Authorized official Dennison, Christian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 28th, 2022 - about 3 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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