Organization
GREEN VALLEY HOMEHEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMALIA RAYA (ADMINISTRATOR)
(760) 242-7009
Entity
Organization
Contact information
Practice address
19031 US HIGHWAY 18, SUITE 180, APPLE VALLEY, CA 92308-2515
(760) 242-7009
Mailing address
19031 US HIGHWAY 18, STE 180, APPLE VALLEY, CA 92308-2515
(760) 242-7009
(760) 242-7020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00005331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08269F
—
CA
Enumeration date
02/23/2006
Last updated
01/23/2008
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