# INDIGO SUN PALLIATIVE CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE WILLOW FOUNDATION, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669285409
- **Legal business name:** THE WILLOW FOUNDATION, INC
- **Authorized official:** LAURA HOLLINGSWORTH RN (BOARD MEMBER)
- **Authorized official phone:** (505) 365-0321

## Contact information

- **Practice address:** 4273 MONTGOMERY BLVD NE STE 110, ALBUQUERQUE, NM 87109-6746
- **Practice address phone:** (505) 365-0321
- **Practice address fax:** (505) 520-0131
- **Mailing address:** 4273 MONTGOMERY BLVD NE STE 110, ALBUQUERQUE, NM 87109-6746
- **Mailing address phone:** (505) 365-0321
- **Mailing address fax:** (505) 520-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025