Organization
HEARTHSTONE GENTLE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALIY BOBKOV (PRESIDENT)
(518) 303-2224
Entity
Organization
Contact information
Practice address
1187 ROUTE 23A # 23A, CATSKILL, NY 12414-5650
(518) 303-2224
Mailing address
1187 ROUTE 23A # 1C, CATSKILL, NY 12414-5783
(518) 303-2224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
03/04/2018
Last updated
07/16/2020
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