Organization
PREMIER INTEGRATED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE-CHANTAL GHAM (PRESIDENT)
(202) 644-1973
Entity
Organization
Contact information
Practice address
15032 CHERRYWOOD DR, LAUREL, MD 20707-5548
(202) 644-1937
Mailing address
15032 CHERRYWOOD DR, LAUREL, MD 20707-5548
(202) 644-1937
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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