Organization
PREMIER GROUP LLC
Active
Other names
Premier Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKO EVATTE SMILEY (OWNER/CEO)
(256) 957-2100
Entity
Organization
Contact information
Practice address
244 KYSER BLVD APT 503, MADISON, AL 35758-3120
(256) 957-2100
Mailing address
2105 QUEENSTON LOOP SW, DECATUR, AL 35603-7705
(256) 957-2100
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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