Organization
PREMIER HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN LINDSEY (PROGRAM MANAGER)
(301) 979-8300
Entity
Organization
Contact information
Practice address
12003 PISCATAWAY RD, CLINTON, MD 20735-1168
(240) 396-5873
Mailing address
12003 PISCATAWAY RD, CLINTON, MD 20735-1168
(240) 396-5873
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
01/20/2019
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