Organization · Type 2 NPI

Premium Residential Services

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

NPI number 1750204277 Active

Practice location

80 Maple Ave
Irvington, NJ 07111-4322

Call (347) 742-5642 Map

Mailing address

6 Treeman Dr Unit 302
Hillsborough, NJ 08844-4795

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.

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About NPI 1750204277

Premium Residential Services's National Provider Identifier is 1750204277, issued on Aug 1, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Irvington, NJ. The record was last updated on Aug 1, 2026.