Provider Demographics
NPI:1346822483
Name:WILLOW PATHWAY INC.
Entity type:Organization
Organization Name:WILLOW PATHWAY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:RYOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-316-6220
Mailing Address - Street 1:26250 INDUSTRIAL BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2922
Mailing Address - Country:US
Mailing Address - Phone:650-316-6220
Mailing Address - Fax:650-316-6220
Practice Address - Street 1:26250 INDUSTRIAL BLVD STE 106
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2922
Practice Address - Country:US
Practice Address - Phone:650-316-6220
Practice Address - Fax:650-316-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health