<Unavail>

LBN: Willowbrook Llc
<Unavail> is an health care organization with primary practice located at 1871 Julie Ln , Twin Falls ID 83301-3525. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Willowbrook Llc can be contacted via phone (208) 736-3727, or through Haight, Kevin Paul via phone (208) 736-3727.

Contact Information

Primary practice address
1871 Julie Ln Twin Falls ID 83301-3525
Phone: (208) 736-3727
Fax: (208) 732-6047
Website:
Map and Directions
Authorized official contact:
Name: Haight, Kevin Paul
Phone: (208) 736-3727

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RC-845 Idaho

Profile Details

NPI number 1316015605
LBN Legal business name Willowbrook Llc
DBA Doing business as <Unavail>
Authorized official Haight, Kevin Paul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2006
Last updated Sep 23rd, 2009 - 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 1316015605 NPPES
Idaho MEDICAID 8074013

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