NPI 1124139340

Premiant INC

Organisation Intellectual Disabilities Intermediate Care Facility Austin, TX

Practice location

Address: 9112 Japonica Court, Austin, TX 78748
Phone: (512) 916-1632
Fax: (512) 916-1639
Mailing address: 1110 West William Cannon Building 2, Austin, TX 78745

Authorised official

Name: Dennis R Latimer
Title: Ceo
Phone: (512) 916-1632

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 3639 (TX)

Other Intermediate Care Facility, Intellectual Disabilities providers in Texas →

Registry record

NPI: 1124139340
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.