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Organization
GREEN PARADISE ADULT HOME CARE LLC.
Active
Organization
GREEN PARADISE ADULT HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SCOTT AVERY (OWNER)
(760) 503-1390
Entity
Organization
Contact information
Practice address
19801 TOMAHAWK RD, APPLE VALLEY, CA 92307-5013
(760) 503-1390
(760) 503-1390
Mailing address
19801 TOMAHAWK RD, APPLE VALLEY, CA 92307-5013
(760) 503-1390
(760) 503-1390
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
336427614
CA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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