Organization
PREMIUM HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHIM SALAH MOHAMED (OWNER)
(612) 408-7881
Entity
Organization
Contact information
Practice address
1 W LAKE ST APT 221, MINNEAPOLIS, MN 55408-3151
(612) 408-7881
Mailing address
1 W LAKE ST APT 221, MINNEAPOLIS, MN 55408-3151
(612) 408-7881
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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