| NPI | 1629769682 |
|---|---|
| Doing Business As | PREMIER PLUS COMMUNITY LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | PRINCE AFARI BOATENG Administrator 703-455-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-06-03 |