Willow Bluff LLC

Skilled Nursing Facility · Kilgore, TX

Organization Active NPI

NPI number 1336124643

Practice location

1901 Whipporwill Ln
Kilgore, TX 75662-3880
Phone
(903) 983-7775

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NPI record

NPI
1336124643
Entity type
Organization (Type 2)
Enumeration date
December 8, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 114059 TX

Authorized official

Name
Mrs. Sondra Scalco, LNFA
Title
Administrator
Phone
(903) 983-7775

Other names

  • The Willows of Kilgore

About Willow Bluff LLC

Willow Bluff LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1901 Whipporwill Ln, Kilgore, TX 75662-3880. The NPI number 1336124643 was assigned on December 8, 2005 and the record was last updated on August 22, 2020.

Willow Bluff LLC lists a license in the registry: #114059 (TX) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Sondra Scalco, LNFA, Administrator.

Frequently asked questions

What is the NPI number of Willow Bluff LLC?

The NPI number is 1336124643.

What is the phone number of Willow Bluff LLC?

The phone number listed for the practice location is (903) 983-7775.

Where is Willow Bluff LLC located?

1901 Whipporwill Ln, Kilgore, TX 75662-3880.

What is the taxonomy code for Willow Bluff LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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