Green Willow Home Care
NPI #1356170302 in Colton, California
Provider Information
- NPI Number
- 1356170302
- Entity Type
- Organization
- Organization Name
- Green Willow Home Care
- Primary Specialty
- Nursing Care
- Enumeration Date
- Jul 29, 2024
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 1386 PORFIRIO ELIAS WAY
- City
- Colton
- State
- California
- ZIP Code
- 92324-1635
- Phone
- (909) 835-8887
Authorized Official
- Name
- MRS. ROSEMARIE ATIENZA SUM
- Title
- LICENSEE/ ADMINISTRATOR
- Phone
- (909) 835-8706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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