OrganizationActive
Premier Community Supports, LLC.
NPI 1700364502 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grants Pass, OR
Provider details
- NPI number
- 1700364502
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Josh Taylor, Owner(541) 787-5172
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
Practice location
1439 Ne 6th St Ste C
Grants Pass, OR 97526
Phone: (541) 787-5172
Approximate (ZIP-level) locationGet directions
Mailing address
521 Ne Dean Dr
Grants Pass, OR 97526-2230
Registry dates
- Enumerated
- 2018-08-02
- Last updated
- 2018-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.