Willowtree Isl

NPI 1083890958 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1083890958
Enumeration Date 01/10/2008
Last Updated 01/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LORRIE R. LORRIE
Position OWNER
Phone (573) 875-7819
Fax
Practice Location
5015 S COWAN LOOP
COLUMBIA MO, 65201-9781, US
Phone (573) 875-7819
Fax
Business Location
5015 S COWAN LOOP
COLUMBIA MO, 65201-9781, US
Phone (573) 875-7819
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
Remove 1083890958 NPI Number
 

According to our database, Willowtree Isl NPI is 1083890958, taxonomy code is 320900000X Willowtree Isl physically located at 5015 S Cowan Loop, Columbia MO, 65201-9781. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083890958 NPI number is provided on an as is basis without warranty of any kind. 1083890958 is maintained by the National Plan & Provider Enumeration System. The contents of Willowtree Isl are for informational purposes only.