Organization
PREMIER COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS (EXECUTIVE DIRECTOR)
(337) 923-0505
Entity
Organization
Contact information
Practice address
105 ROSEBUD ST, BALDWIN, LA 70514-0000
(337) 923-0505
(337) 923-0363
Mailing address
PO BOX 1009, 105 ROSEBUD ST, BALDWIN, LA 70514-1009
(337) 923-0505
(337) 923-0363
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462861
—
LA
05
—
1470767
—
LA
Enumeration date
09/08/2015
Last updated
09/08/2015
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