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Organization

THREE STARS GROUP HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBESAY GIRMALUL (OWNER/MANAGER)
(651) 207-6588
Entity
Organization

Contact information

Practice address
630 VIRGINIA ST, SAINT PAUL, MN 55103-1757
(651) 468-4729
Mailing address
630 VIRGINIA ST, SAINT PAUL, MN 55103-1757
(651) 468-4729

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/08/2020
Last updated
02/08/2020
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