| NPI | 1225781529 |
|---|---|
| Doing Business As | GREEN VALLEY SENIOR CARE HOME |
| Entity Type | Organization |
| Authorized Contact | ALBERT VO President 725-214-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |