OrganizationActive
Premier Plus Community Living LLC
NPI 1629769682 · Adult Care Home Facility · Woodbridge, VA
Provider details
- NPI number
- 1629769682
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Prince Boateng, Administrator(703) 455-3385
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4008 Genesee Pl Ste 105
Woodbridge, VA 22192-8306
Phone: (703) 455-3385
Fax: (703) 580-9308
Approximate (ZIP-level) locationGet directions
Mailing address
4008 Genesee Pl Ste 105
Woodbridge, VA 22192-8306
Other names (DBA / former)
- Doing business as
- Premier Plus Community Living LLC
- Doing business as
- Premier Plus Community Living LLC
Registry dates
- Enumerated
- 2023-05-18
- Last updated
- 2023-06-03
- Certified
- 2023-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.