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General NPI Number Information
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NPI Number | 1730473364
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Entity Type | Organization
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Legal Business Name | THE WILLOWS ASSISTED LIVING
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 806 S ST
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City | NELIGH
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State | NE
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Zip | 68756-1176
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Country | US
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Telephone | 402-887-9059
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Fax | 402-887-5450
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Provider Business Mailing Address
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Address Line | 806 S ST
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City | NELIGH
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State | NE
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Zip | 68756-1176
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Country | US
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Telephone | 402-887-9059
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Fax | 402-887-5450
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Authorized Official
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Title or Position | PRESIDENT OF THE BOARD
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Name | MRS. MADLYN RICE
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Credential |
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Telephone | 402-887-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALF199
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License Number State | NE
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