Provider Demographics
NPI:1407940059
Name:WILLAND, INC
Entity Type:Organization
Organization Name:WILLAND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-295-8114
Mailing Address - Street 1:907 S WHITE OAK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75693-1429
Mailing Address - Country:US
Mailing Address - Phone:903-295-8114
Mailing Address - Fax:903-295-0001
Practice Address - Street 1:907 S WHITE OAK RD
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:TX
Practice Address - Zip Code:75693-1429
Practice Address - Country:US
Practice Address - Phone:903-295-8114
Practice Address - Fax:903-295-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services