Provider Demographics
NPI:1780153056
Name:THE GOOD MILLER GROUP LLC
Entity type:Organization
Organization Name:THE GOOD MILLER GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-664-1100
Mailing Address - Street 1:111 PRESIDENTIAL BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1005
Mailing Address - Country:US
Mailing Address - Phone:610-664-1100
Mailing Address - Fax:610-664-1109
Practice Address - Street 1:111 PRESIDENTIAL BLVD STE 160
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1005
Practice Address - Country:US
Practice Address - Phone:610-664-1100
Practice Address - Fax:610-664-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health