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Organization
MINDSTAR SERVICES
Active
Organization
MINDSTAR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL GRANT (DIRECTOR)
(530) 902-6336
Entity
Organization
Contact information
Practice address
180 PROMENADE CIR STE 300, SACRAMENTO, CA 95834-2952
(916) 903-2538
(916) 634-7701
Mailing address
180 PROMENADE CIR STE 300, SACRAMENTO, CA 95834-2952
(916) 903-2538
(916) 634-7701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
11/28/2023
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