WILLOWBROOK ASSISTED LIVING - NPI 1316015605 - Assisted Living Facility in Twin Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Willowbrook Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOWBROOK ASSISTED LIVING (NPI 1316015605) is a healthcare organization registered as an assisted living facility in Twin Falls, Idaho and active in the NPI registry since December 2006. The organization lists Kevin Paul Haight, Administrator, Owner, as its authorized official.

NPPES Registry Identity

NPI1316015605

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWILLOWBROOK LLC

Location Address1871 JULIE LNTwin Falls, ID 83301-3525

Mailing Address1871 Julie LnTwin Falls, ID 83301-3525 · (208) 736-3727 · Fax (208) 732-6047

Phone(208) 736-3727

Fax(208) 732-6047

Organization SubpartNo

Authorized OfficialKevin Paul HaightAdministrator, Owner · (208) 736-3727

Enumeration DateDecember 3, 2006

Last NPPES UpdateSeptember 23, 2009

✔ NPI 1316015605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in ID · RC-845

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1871 JULIE LN, Twin Falls, ID 83301

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