Premium Residential Services
Premium Residential Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Irvington, New Jersey. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
80 Maple AveIrvington, NJ 07111-4322
Phone: (347) 742-5642
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1750204277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Martinez — Managing Member · (347) 742-5642 |
| NPI enumerated | August 1, 2026 |
| Last updated in NPPES | August 1, 2026 |
| Certification date | August 1, 2026 |
| Mailing address | 6 Treeman Dr Unit 302, Hillsborough, NJ 08844-4795 |
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