Primer Supportive Network LLC

NPI #1376349142 in Oakdale, Minnesota

Provider Information

NPI Number: 1376349142
Entity Type: Organization
Organization Name: Primer Supportive Network LLC
Primary Specialty: Home Health
Enumeration Date: Feb 21, 2025
Last Updated: Feb 21, 2025

Practice Location

Address: 7597 UPPER 24TH ST N
City: Oakdale
State: Minnesota
ZIP Code: 55128-5025
Phone: (651) 278-9352

Authorized Official

Name: ANTHONY NGOCHO NASILAI
Title: CEO
Phone: (651) 278-9352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Transportation Network Company	342000000X
Home Health	251E00000X	Primary

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