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Premier Group LLC — NPI 1376375279, Madison, AL | NPI Central

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NPI 1376375279

OrganizationActive

Premier Group LLC

NPI 1376375279 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Madison, AL

Provider details

NPI number: 1376375279
Entity type: Organization
Primary specialty: Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Tomiko Smiley, Owner/Ceo(256) 957-2100

Specialties & taxonomies

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000X
Residential Treatment Facilities

Practice location

244 Kyser Blvd Apt 503

Madison, AL 35758-3120

Phone: (256) 957-2100

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

2105 Queenston Loop Sw

Decatur, AL 35603-7705

Other names (DBA / former)

Doing business as: Premier Group Home

Registry dates

Enumerated: 2024-08-19
Last updated: 2024-08-19
Certified: 2024-08-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.