Organization
PREMIER PLUS COMMUNITY LIVING LLC
Active
Other names
Premier Plus Community Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE AFARI BOATENG (ADMINISTRATOR)
(703) 455-3385
Entity
Organization
Contact information
Practice address
4008 GENESEE PL STE 105, WOODBRIDGE, VA 22192-8306
(703) 455-3385
(703) 580-9308
Mailing address
4008 GENESEE PL STE 105, WOODBRIDGE, VA 22192-8306
(703) 455-3385
(703) 580-9308
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
06/03/2023
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