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Organization
PREMIER HEALTHCARE SERVICES INC
Active
Organization
PREMIER HEALTHCARE SERVICES INC
Active
Other names
GRACE HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED SURGEON (DIRECTOR)
(910) 733-0617
Entity
Organization
Contact information
Practice address
1892 TURNPIKE ROAD, RAEFORD, NC 28376
(910) 733-0617
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 733-0617
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/15/2007
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