Organization
WILMON CORPORATION
Active
Other names
Miller's Progressive Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PREIMESBERGER ESQ. (CFO)
(951) 685-7474
Entity
Organization
Contact information
Practice address
8951 GRANITE HILL DR, RIVERSIDE, CA 92509-1104
(951) 685-7474
(951) 685-3047
Mailing address
8951 GRANITE HILL DR, RIVERSIDE, CA 92509-1104
(951) 685-7474
(951) 685-3047
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90047F
—
CA
Enumeration date
08/16/2006
Last updated
12/01/2014
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