Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ets Willowbrook at Marion

Organization Assisted Living Facility · NPI 1114420502

Ets Willowbrook at Marion is an Assisted Living Facility in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

1580 S Marion Ave
Lake City, FL 32025-6913
Phone: (386) 752-4454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 9909 (FL)

Record details

NPI number1114420502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Burgess — Secretary/Treasurer · (614) 565-5636
Other names Willowbrook
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing address7225 Drucilla St, Pickerington, OH 43147-7962

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