Healthcare Provider Details

I. General information

NPI: 1912826702
Provider Name (Legal Business Name): WILLOW BROOK CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 NORTH ST
MIDDLEBORO MA
02346-1619
US

IV. Provider business mailing address

76 NORTH ST
MIDDLEBORO MA
02346-1619
US

V. Phone/Fax

Practice location:
  • Phone: 508-947-4774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON CHESLEY
Title or Position: MANAGER
Credential:
Phone: 562-682-8864