Organization
PREMIUM HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI DIN (MANAGER)
(763) 393-0103
Entity
Organization
Contact information
Practice address
566 38TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3801
(763) 393-0103
Mailing address
566 38TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/24/2024
Last updated
02/17/2024
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