Organization · Type 2 NPI

Premier Plus Community Living LLC

Adult Care Home Facility · Woodbridge, VA

NPI number 1629769682 Active

Practice location

4008 Genesee Pl Ste 105
Woodbridge, VA 22192-8306

Fax (703) 580-9308

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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Aj Residence LLCAdult Care Home Facility Woodbridge, VA NPI 1083388045

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NPI record

NPI: 1629769682
Entity type: Organization (Type 2)
Issued: May 18, 2023
Last updated: Jun 3, 2023
Status: Active

Other names

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Premier Plus Community Living LLC · doing business as
Premier Plus Community Living LLC · doing business as

Authorized official

Mr. Prince Afari Boateng
Administrator
(703) 455-3385

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629769682

Premier Plus Community Living LLC's National Provider Identifier is 1629769682, issued on May 18, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Woodbridge, VA. The record was last updated on Jun 3, 2023.