Organization
PREMIER HOST HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH HUDSON ANDREW HUDSON RN (PRESIDENT/CEO)
(712) 870-4793
Entity
Organization
Contact information
Practice address
701 WEST ST, SHENANDOAH, IA 51601-1936
(712) 870-4793
Mailing address
701 WEST ST, SHENANDOAH, IA 51601-1936
(712) 870-4793
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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