OrganizationActive
A Premier Living Care Center LLC
NPI 1295429918 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1295429918
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Debra Avery, Owner/Ceo(904) 485-0978
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5204 Brunche Drive
Jacksonville, FL 32209
Phone: (904) 485-0978
Approximate (ZIP-level) locationGet directions
Mailing address
4720 Salisbury Rd
Jacksonville, FL 32256-6101
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-06
- Certified
- 2023-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.