Premier Supports, LLC

NPI #1669038295 in Kendall Park, New Jersey

Provider Information

NPI Number
1669038295
Entity Type
Organization
Organization Name
Premier Supports, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 20, 2019
Last Updated
Nov 6, 2024

Practice Location

Address
2 CRANSTON RD
ZIP Code
08824-1116
Phone
(512) 327-2325

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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