Organization · Type 2 NPI
Premier Community Supports, Llc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grants Pass, OR
Practice location
1439 NE 6th St Ste C
Grants Pass, OR 97526
Mailing address
521 NE Dean Dr
Grants Pass, OR 97526-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| 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.
About NPI 1700364502
Premier Community Supports, Llc.'s National Provider Identifier is 1700364502, issued on Aug 2, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 14, 2018.