PREMIUM DIRECT CARE PROVIDERS INC.

NPI # 

Practice Address:

1612 Bonforte Blvd

Pueblo, CO, 81001-1603

Practice Phone:

719-543-3600

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Developmental Disabilities

Taxonomy Code:

261QD1600X