NPI 1578812061

Willow Park LLC

Organisation Adult Care Home Facility Kansas City, MO

Practice location

Address: 5811 E Truman Rd, Kansas City, MO 64126
Phone: (913) 302-1785

Authorised official

Name: Chong H Yu
Title: Director
Phone: (913) 302-1785

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 1058 (MO)

Other Custodial Care Facility providers in Missouri →

Registry record

NPI: 1578812061
Entity type: Organization
NPI issued: 30 Aug 2012
Record last updated: 30 Aug 2012

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.