WILLOW MANOR RETIREMENT LIVING NPI 1750703112

NPI Information

  • NPI: 1750703112
  • Provider Name: WILLOW MANOR RETIREMENT LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 150 STIRLING RD
    DANIA, FL
    ZIP 33004
  • Phone: (954) 920-1988

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NPI Details

WILLOW MANOR RETIREMENT LIVING is an assisted living facility in Dania, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WILLOW MANOR RETIREMENT LIVING NPI is 1750703112. The provider is registered as an organization entity type.

The provider's business location address is:

150 STIRLING RD
DANIA, FL
ZIP 33004-658
Phone: (954) 920-1988

The provider's authorized official is Peter Signore .
The authorized official title is Owner and has the following contact phone number (954) 920-1988.

The enumeration date for this NPI number is 1/19/2014 and was last updated on 1/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility0006122FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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