Organization
PREMIUM HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEYINWA OSAKWE (PROGRAM DIRECTOR)
(763) 568-8828
Entity
Organization
Contact information
Practice address
3808 94TH AVE N, BROOKLYN PARK, MN 55443-1836
(763) 568-8828
Mailing address
3808 94TH AVE N, BROOKLYN PARK, MN 55443-1836
(763) 568-8828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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