Organization
BLUESTONE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIDACE SHIMA DSP (CEO)
(207) 409-8560
Entity
Organization
Contact information
Practice address
44 COBURN ST, AUBURN, ME 04210-5210
(207) 409-8560
Mailing address
44 COBURN ST, AUBURN, ME 04210-5210
(207) 409-8560
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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