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Premier Community Supports, Llc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grants Pass, Oregon
NPI 1700364502

Premier Community Supports, Llc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Grants Pass, OR. Premier Community Supports, Llc. practices in Grants Pass, OR. The NPI Number for Premier Community Supports, Llc. is 1700364502 and holds a License No. (Oregon).

The current practice location address for Premier Community Supports, Llc. is 1439 Ne 6Th St Ste C, Grants Pass, OR and can be reached out via phone at 541-787-5172.

Location: 1439 Ne 6Th St Ste C, Grants Pass, OR, 97526-2230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700364502
Provider Name
Premier Community Supports, Llc.
Credential
Provider Entity Type
Organization
Address
1439 Ne 6Th St Ste C, Grants Pass, OR, 97526-2230
Phone Number
541-787-5172
Fax Number
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103120 05 OR
institution
Provider Business Practice Location Address Details
Address
1439 Ne 6Th St Ste C
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-787-5172
Fax Number
person
Provider Business Mailing Address Details
Address
1439 Ne 6Th St Ste C
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-787-5172
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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