NPI
Willow Place Living Center, LLC
Doing business as Willow Place. Phone (405) 452-3278 · Fax (405) 452-5154 · NPI 1366524423
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-19
- Last updated
- 2023-01-12
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Specialties
Licenses
- License OK
- NH3203-3203
Location
- Practice location
- 622 S Alabama St
- City
- Wetumka OK
- Postal code
- 74883
- Phone
- (405) 452-3278
- Fax
- (405) 452-5154
Organization contact
- Name
- Donna Simmons
- Title
- Office Manager
- Phone
- (405) 380-6671
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Intermediate Care Facility, Intellectual Disabilities providers in Wetumka, OK. 11 with this primary taxonomy in the public file.
Other NPIs in Wetumka, OK. 33 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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