NPI 1477918985
Premier Integrated Care LLC
Practice location
- Address
- 15032 Cherrywood Dr, Laurel, MD 20707-5548
- Phone
- (202) 644-1937
Authorised official
- Name
- Marie-Chantal Gham
- Title
- President
- Phone
- (202) 644-1973
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1477918985
- Entity type
- Organization
- NPI issued
- 28 Dec 2015
- Record last updated
- 28 Dec 2015
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.