| NPI | 1508947169 |
|---|---|
| Doing Business As | PRIME ENTERPRISE, INC. |
| Entity Type | Organization |
| Authorized Contact | OSETOHAME AGENE President/Owner 952-451-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 333542) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |