Premier Waiver Homes LLC
NPI #1316757743 in Shenandoah, Iowa
Provider Information
- NPI Number
- 1316757743
- Entity Type
- Organization
- Organization Name
- Premier Waiver Homes LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 8, 2025
- Last Updated
- Jan 23, 2025
Practice Location
- Address
- 701 WEST ST
- City
- Shenandoah
- State
- Iowa
- ZIP Code
- 51601-1936
- Phone
- (712) 242-5993
Authorized Official
- Name
- SETH ANDREW HUDSON
- Title
- FOUNDER
- Phone
- (712) 870-4793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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