Star Supportive Services, Llc.
NPI #1538988720 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1538988720
- Entity Type
- Organization
- Organization Name
- Star Supportive Services, Llc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 4470 W 78TH STREET CIR
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55435-5408
- Phone
- (612) 446-5353
Authorized Official
- Name
- FARDOWSO ISSE
- Title
- CO-OWNER
- Phone
- (612) 703-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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