Organization
GRANDIS CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL STK STEPHENS (VP)
(714) 423-3590
Entity
Organization
Contact information
Practice address
4033 DOVE ST APT 11, SAN DIEGO, CA 92103-1959
(714) 423-3590
Mailing address
4033 DOVE ST APT 11, SAN DIEGO, CA 92103-1959
(714) 423-3590
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
11/28/2023
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