Organization
GREEN WILLOW HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARIE ATIENZA SUM (LICENSEE/ ADMINISTRATOR)
(909) 835-8706
Entity
Organization
Contact information
Practice address
1386 PORFIRIO ELIAS WAY, COLTON, CA 92324-1635
(909) 835-8887
Mailing address
950 S WILLOW AVE, RIALTO, CA 92376-7845
(909) 835-8706
(909) 341-5647
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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