Organization
PREMIER COMMUNITY SERVICES LLC
Active
Organization
PREMIER COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS LCSW (EXECUTIVE DIRECTOR)
(225) 933-0142
Entity
Organization
Contact information
Practice address
1001 W PINHOOK RD, SUITE 301, LAFAYETTE, LA 70503-2448
(337) 269-8990
(337) 269-8992
Mailing address
P.O. BOX 1009, BALDWIN, LA 70514-0000
(337) 269-8990
(337) 269-8992
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
10903
LA
3747P1801X
Personal Care Attendant
Primary
15479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329215
—
LA
05
—
1329371
—
LA
05
—
1462861
—
LA
05
—
1470767
—
LA
05
—
1800741
—
LA
Enumeration date
10/24/2014
Last updated
10/24/2014
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