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Organization
MISI COMMUNITY SOLUTIONS LLC
Active
Organization
MISI COMMUNITY SOLUTIONS LLC
Active
Other names
MISI Community Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA OBUTKOVA (PART OWNER)
(916) 826-4665
Entity
Organization
Contact information
Practice address
101 CREEKSIDE RIDGE CT STE 215, ROSEVILLE, CA 95678-3595
(916) 659-0003
(916) 514-5525
Mailing address
8815 BELLA TERRA PL, GRANITE BAY, CA 95746-8850
(916) 826-4665
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
11/22/2022
Last updated
04/16/2026
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