Organization
HEARTHSTONE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY BOBKOV (PRESIDENT)
(718) 934-6714
Entity
Organization
Contact information
Practice address
1187 ROUTE 23A, CATSKILL, NY 12414-5650
(718) 934-6714
Mailing address
1187 ROUTE 23A, CATSKILL, NY 12414-5650
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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