Premium Direct Care Providers Inc.

NPI #1346615085 in Pueblo, Colorado

Provider Information

NPI Number
1346615085
Entity Type
Organization
Organization Name
Premium Direct Care Providers Inc.
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Dec 7, 2015
Last Updated
Dec 7, 2015

Practice Location

Address
1612 BONFORTE BLVD
City
Pueblo
ZIP Code
81001-1603
Phone
(719) 543-3600

Authorized Official

Name
JOANN MADRID
Title
PRESIDENT
Phone
(719) 543-3600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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