- Enrollment id
- O20240229000205
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134871767
- Multiple npi flag
- N
- Ccn
- 757984
- Associate id
- 3173968112
- Organization name
- WILLOWS HOME HEALTH SERVICES, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5311 TOPANGA CANYON BLVD
- Address line 2
- STE 211
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913641740