Organization · Type 2 NPI
Premier Supports, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bridgewater, NJ
Practice location
190A Finderne Ave
Bridgewater, NJ 08807-3038
Fax (512) 628-1553
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1104483213
Premier Supports, LLC's National Provider Identifier is 1104483213, issued on May 23, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bridgewater, NJ. The record was last updated on Nov 13, 2024.