NPI 1629769682

Premier Plus Community Living LLC

Organisation Adult Care Home Facility Woodbridge, VA

Practice location

Address: 4008 Genesee Pl STE 105, Woodbridge, VA 22192-8306
Phone: (703) 455-3385
Fax: (703) 580-9308

Authorised official

Name: Prince Afari Boateng
Title: Administrator
Phone: (703) 455-3385

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Virginia →

Registry record

NPI: 1629769682
Entity type: Organization
NPI issued: 18 May 2023
Record last updated: 3 Jun 2023

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.