NPI 1306914973
Willow Manor Investors INC
Practice location
- Address
- 1321 Willow St, Vincennes, IN 47591-4205
- Phone
- (812) 882-1136
- Fax
- (812) 882-7251
Authorised official
- Name
- Mark Ide
- Title
- Partner
- Phone
- (317) 670-1577
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1306914973
- Entity type
- Organization
- NPI issued
- 1 Dec 2006
- Record last updated
- 22 Aug 2020
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.