Organization
GREENING HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMOUD EGAL (CHIEF EXECUTIVE OFFICER)
(651) 347-1747
Entity
Organization
Contact information
Practice address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(763) 485-1011
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(763) 485-1011
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
03/05/2025
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