Organization
ALLIANCE PREMIER SERVICES LLC
Active
Other names
Premier Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN M NYANGENA (CEO)
(763) 442-7139
Entity
Organization
Contact information
Practice address
4945 ALVARADO LN N, PLYMOUTH, MN 55446-3066
(763) 442-7139
Mailing address
4945 ALVARADO LN N, PLYMOUTH, MN 55446-3066
(763) 442-7139
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/21/2025
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