Prime Enterprise, Inc.

NPI #1508947169 in Fridley, Minnesota

Provider Information

NPI Number
1508947169
Entity Type
Organization
Organization Name
Prime Enterprise, Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
505 JANESVILLE ST NE
ZIP Code
55432-1638
Phone
(952) 451-4941

Authorized Official

Name
MS. OSETOHAME AGENE, RN
Title
PRESIDENT/OWNER
Phone
(952) 451-4941

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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