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Contact Information

PRIMER SUPPORTIVE NETWORK LLC
7597 UPPER 24TH ST N
OAKDALE, MN55128-5025
 Phone: 651-278-9352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Transportation Network Company

342000000X
Indicates primary specialty

NPI Profile & details for PRIMER SUPPORTIVE NETWORK LLC

NPI Number 1376349142
LBN Legal business name PRIMER SUPPORTIVE NETWORK LLC
Authorized official ANTHONY NASILAI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2025
Last updated 02/21/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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