Willow Creek Isl, LLC
Willow Creek Isl, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
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) 297-8956
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 Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 134112203 (MO) |
|---|
Record details
| NPI number | 1871897017 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christian Dennison — Owner · (816) 225-8214 |
| Other names | Willow Creek Group Home South; Willow Creek Group Home South |
| NPI enumerated | January 3, 2011 |
| Last updated in NPPES | January 28, 2022 |
| Certification date | January 28, 2022 |
| Mailing address | 1008 Edith Ave., Adrian, MO 64720 |
Other providers in Adrian
-
Christine Lynn Bohannon
Box 64 303 W Main St, Adrian, MO 64720-9217 · (816) 805-2980
-
Four Seasons of Adrian, LLC
303 W Main St, Adrian, MO 64720-9217 · (816) 805-0319
-
Willow Creek Group Home
Rural Route 2 Box 27, Adrian, MO 64720 · (816) 297-4256
-
Willow Creek Group Home, Inc
Rr 2 Box 27, Adrian, MO 64720-9587 · (816) 297-8956