Premier Supports, LLC
NPI #1831717644 in Kendall Park, New Jersey
Provider Information
- NPI Number
- 1831717644
- Entity Type
- Organization
- Organization Name
- Premier Supports, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 8, 2020
- Last Updated
- Nov 6, 2024
Practice Location
- Address
- 115 NEW RD
- City
- Kendall Park
- State
- New Jersey
- ZIP Code
- 08824-1132
- 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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