National Provider Identifier Database

PREMIER SUPPORT SERVICES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

PREMIER SUPPORT SERVICES INC.
1100 CEDRUS WAY
ROCKVILLE, MD20854-5534
Phone: 215-260-5447
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for PREMIER SUPPORT SERVICES INC.

NPI Number 1134801459
Legal business name
LBN
PREMIER SUPPORT SERVICES INC.
Authorized official JARISS SMITH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/04/2023
Last updated 08/04/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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