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Organization
PREMIER PLUS COMMUNITY LIVING LLC
Active
Organization
PREMIER PLUS COMMUNITY LIVING LLC
Active
Other names
Premier Plus Community Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE AFARI BOATENG (ADMINISTRATOR)
(703) 455-3385
Entity
Organization
Contact information
Practice address
4008 GENESEE PL STE 105, WOODBRIDGE, VA 22192-8306
(703) 455-3385
(703) 580-9308
Mailing address
4008 GENESEE PL STE 105, WOODBRIDGE, VA 22192-8306
(703) 455-3385
(703) 580-9308
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
06/03/2023
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