Willow Park Llc

NPI 1578812061 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1578812061
Enumeration Date 08/30/2012
Last Updated 08/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHONG H CHONG
Position DIRECTOR
Phone (913) 302-1785
Fax
Practice Location
5811 E TRUMAN RD
KANSAS CITY MO, 64126, US
Phone (913) 302-1785
Fax
Business Location
5811 E TRUMAN RD
KANSAS CITY MO, 64126, US
Phone (913) 302-1785
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Missouri
License Number 1058
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According to our database, Willow Park Llc NPI is 1578812061, taxonomy code is 311ZA0620X and license number is 1058, license state is located at Missouri. Willow Park Llc physically located at 5811 E Truman Rd, Kansas City MO, 64126. NPI Number 1033115704 has the healthcare provider type.

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1578812061 NPI number is provided on an as is basis without warranty of any kind. 1578812061 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Park Llc are for informational purposes only.