Organization
PREMIER HOME CARE, LLC
Active
Other names
Premier Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IDIL A JAMA (MANAGER)
(612) 501-8333
Entity
Organization
Contact information
Practice address
7120 13TH AVE S, RICHFIELD, MN 55423-3347
(612) 501-8333
Mailing address
7120 13TH AVE S, RICHFIELD, MN 55423-3347
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
MN
Enumeration date
06/27/2019
Last updated
06/27/2019
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