# PREMIER LIVING AND HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Living and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750246591
- **Authorized official:** SAMUEL GOLDSMITH (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (732) 619-3822

## Contact information

- **Practice address:** 106 CAMERON ST, LAKE WACCAMAW, NC 28450-1900
- **Practice address phone:** (910) 646-3132
- **Mailing address:** 106 CAMERON ST, LAKE WACCAMAW, NC 28450-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2025
- **Last updated:** 02/03/2026