Organization
PRIME HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ALI AHMED (PRESIDENT/OWNER)
(612) 807-7228
Entity
Organization
Contact information
Practice address
198 E 95TH STREET CIR, BLOOMINGTON, MN 55420-4406
(612) 807-7228
Mailing address
198 E 95TH STREET CIR, BLOOMINGTON, MN 55420-4406
(612) 807-7228
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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