Provider Demographics
NPI:1639983570
Name:PREMIER ADVOCATE AND SUPPORT SERVICES OF NEW ENGLAND LLC
Entity type:Organization
Organization Name:PREMIER ADVOCATE AND SUPPORT SERVICES OF NEW ENGLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-739-9555
Mailing Address - Street 1:92 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4624
Mailing Address - Country:US
Mailing Address - Phone:207-739-9555
Mailing Address - Fax:
Practice Address - Street 1:92 FAIR ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-4624
Practice Address - Country:US
Practice Address - Phone:207-739-9555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities