Willow Creek Isl, LLC
Willow Creek Isl, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Adrian, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1008 Edith AveAdrian, MO 64720
Phone: (816) 225-8214
Fax: (816) 297-4032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 855188900 (MO) |
|---|
Record details
| NPI number | 1538281019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christian Denison — Owner · (816) 225-8214 |
| Other names | Willow Creek Group Home |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
| Mailing address | 1008 Edith Ave., Adrian, MO 64720 |
Other providers in Adrian
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Willow Creek Isl
Rr 2 Box 27, Adrian, MO 64720-9587 · (816) 297-2833