Organization
INDIGO SUN PALLIATIVE CARE
Active
Parent organization
THE WILLOW FOUNDATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WILLOW FOUNDATION, INC
Authorized official
LAURA HOLLINGSWORTH RN (BOARD MEMBER)
(505) 365-0321
Entity
Organization
Contact information
Practice address
4273 MONTGOMERY BLVD NE STE 110, ALBUQUERQUE, NM 87109-6746
(505) 365-0321
(505) 520-0131
Mailing address
4273 MONTGOMERY BLVD NE STE 110, ALBUQUERQUE, NM 87109-6746
(505) 365-0321
(505) 520-0131
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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