Organization
PRIME ENTERPRISE, INC.
Active
Other names
PRIME ENTERPRISE, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OSETOHAME AGENE RN (PRESIDENT/OWNER)
(952) 451-4941
Entity
Organization
Contact information
Practice address
505 JANESVILLE ST NE, FRIDLEY, MN 55432-1638
(952) 451-4941
Mailing address
505 JANESVILLE ST NE, FRIDLEY, MN 55432-1638
(952) 451-4941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
333542
MN
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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