Willows Lakeview Village, Inc

NPI 1538394507 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1538394507
Enumeration Date 05/20/2009
Last Updated 11/08/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN M JOHN
Position PRESIDENT
Phone (731) 247-3205
Fax (731) 247-5205
Practice Location
220 COLLEGE ST
PURYEAR TN, 38251-6441, US
Phone (731) 247-3205
Fax (731) 247-5205
Business Location
17826 EDISON AVE
CHESTERFIELD MO, 63005-1262, US
Phone (636) 536-5365
Fax (636) 536-4533
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Willows Lakeview Village, Inc NPI is 1538394507, taxonomy code is 314000000X Willows Lakeview Village, Inc physically located at 220 College St, Puryear TN, 38251-6441. NPI Number 1033115704 has the healthcare provider type.

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1538394507 NPI number is provided on an as is basis without warranty of any kind. 1538394507 is maintained by the National Plan & Provider Enumeration System. The contents of Willows Lakeview Village, Inc are for informational purposes only.