# PREMIER HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE HOUSE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548472434
- **Authorized official:** MR. FRED SURGEON (DIRECTOR)
- **Authorized official phone:** (910) 733-0617

## Contact information

- **Practice address:** 1892 TURNPIKE ROAD, RAEFORD, NC 28376
- **Practice address phone:** (910) 733-0617
- **Mailing address:** 401 E 11TH ST, LUMBERTON, NC 28358-4807
- **Mailing address phone:** (910) 733-0617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/15/2007