Organization
PRIME HOME ALLIANCE LLC
Active
Other names
Prime Home Alliance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMAL ODAWA (OWNER/DIRECTOR/ADMINISTRATOR/RN)
(612) 406-4957
Entity
Organization
Contact information
Practice address
2305 TERRACE DR, BURNSVILLE, MN 55337-2089
(612) 406-9629
Mailing address
2305 TERRACE DR, BURNSVILLE, MN 55337-2089
(612) 406-9629
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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