Provider Demographics
NPI:1689009524
Name:PREMIER HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PREMIER HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YUSSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-223-6744
Mailing Address - Street 1:1422 W LAKE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2616
Mailing Address - Country:US
Mailing Address - Phone:612-223-6744
Mailing Address - Fax:612-223-6773
Practice Address - Street 1:1422 W LAKE ST STE 213
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2616
Practice Address - Country:US
Practice Address - Phone:612-223-6744
Practice Address - Fax:612-223-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health