NPI 1073069514

Willow Grove, INC.

Organisation Assisted Living Facility Spokane, WA

Practice location

Address: 1620 E Mead St, Spokane, WA 99218-1772
Phone: (509) 467-1135
Fax: (509) 468-7906

Authorised official

Name: Leroy Gilbert Mattson
Title: Ceo, President
Phone: 50946711135

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Washington →

Registry record

NPI: 1073069514
Entity type: Organization
NPI issued: 25 Aug 2016
Record last updated: 25 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.