NPI 1982848305
Premium Healthcare Services
Practice location
- Address
- 2535 Yankee CT, La Grange, NC 28551-8669
- Phone
- (252) 686-6455
- Mailing address
- 2535 Yankee Court, Lagrange, NC 28551
Authorised official
- Name
- Reginald Lee Saunders
- Title
- Executive Director
- Phone
- (252) 686-6455
Registered specialties (2)
Custodial Care Facility
Primary
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1982848305
- Entity type
- Organization
- NPI issued
- 29 Apr 2009
- Record last updated
- 29 Apr 2009
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.