Premier Supports, LLC
NPI #1386201499 in Bridgewater, New Jersey
Provider Information
- NPI Number
- 1386201499
- Entity Type
- Organization
- Organization Name
- Premier Supports, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 23, 2019
- Last Updated
- Nov 6, 2024
Practice Location
- Address
- 993 SEVERIN DR
- City
- Bridgewater
- State
- New Jersey
- ZIP Code
- 08807-2326
- Phone
- (512) 628-1553
Authorized Official
- Name
- MARY PATRICIA RODENBERG-ROBERTS
- Title
- VP & SR ASST GENERAL COUNSEL
- Phone
- (952) 836-2234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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