| Organization Name: | WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC |
| NPI Number: | 1609100031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN LEE MURRAY-WACHTEDORF (FACILITY DIRECTOR) |
| Mailing Address: | 16445 Mathis Rd Waller |
| State: | TX US |
| Postal Code: | 774845397 |
| Phone Number: | 9369313324 |
| Fax Number: | 8325537973 |
| NPI Enumeration Date: | 10/02/2009 |
| NPI Last Update Date: | 10/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |