Organization
PREMIUM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD LEE SAUNDERS (EXECUTIVE DIRECTOR)
(252) 686-6455
Entity
Organization
Contact information
Practice address
2535 YANKEE CT, LA GRANGE, NC 28551-8669
(252) 686-6455
Mailing address
2535 YANKEE COURT, LAGRANGE, NC 28551
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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