Organization · Type 2 NPI

Premier Supports, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kendall Park, NJ

NPI number 1487210357 Active

Practice location

20 Richford Rd
Kendall Park, NJ 08824-1108

Call (512) 327-2325 Map

Fax (512) 628-1553

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

2 other providers at this address

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About NPI 1487210357

Premier Supports, LLC's National Provider Identifier is 1487210357, issued on May 15, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kendall Park, NJ. The record was last updated on Nov 6, 2024.