Organization
PREMIER COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLINS (DIRECTOR)
(225) 933-0142
Entity
Organization
Contact information
Practice address
501 FLATTOWN ROAD, CHARENTON, LA 70523
(337) 923-0505
(337) 923-0363
Mailing address
PO BOX 151, CHARENTON, LA 70523-0151
(337) 923-0505
(337) 923-0363
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
14215
LA
251C00000X
Developmentally Disabled Services Day Training Agency
14216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462861
—
LA
05
—
1470767
—
LA
05
—
1477702
—
LA
05
—
1596531
—
LA
05
—
1596574
—
LA
Enumeration date
12/04/2006
Last updated
08/22/2020
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