Organization
WILDWOOD COURT LLC
Active
Organization
WILDWOOD COURT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHMAAL WILLIS (OWNER)
(951) 764-4633
Entity
Organization
Contact information
Practice address
11898 LUNA RD, VICTORVILLE, CA 92392-1237
(951) 764-4633
Mailing address
19166 LA QUINTA PL, APPLE VALLEY, CA 92308-2700
(951) 764-4633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/24/2024
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