# GREEN VALLEY HOMEHEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801862578
- **Authorized official:** MRS. AMALIA RAYA (ADMINISTRATOR)
- **Authorized official phone:** (760) 242-7009

## Contact information

- **Practice address:** 19031 US HIGHWAY 18, SUITE 180, APPLE VALLEY, CA 92308-2515
- **Practice address phone:** (760) 242-7009
- **Mailing address:** 19031 US HIGHWAY 18, STE 180, APPLE VALLEY, CA 92308-2515
- **Mailing address phone:** (760) 242-7009
- **Mailing address fax:** (760) 242-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 00005331 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 01/23/2008