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An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X |
| NPI Number | 1710132345 |
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| LBN Legal business name | WILLOW CREEK ASSISTED LIVING | ||||
| Authorized official | ROBERTA SANDOVAL - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/24/2008 | ||||
| Last updated | 11/24/2008 - About 18 years ago | ||||
| Identifiers |
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WILLOW CREEK ASSISTED LIVING