Organization
ASSISTED CARE BY BLACK STONE OF NORTHWEST OHIO, LLC
Active
Other names
Home Care by Black Stone
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
3600 BRIARFIELD BLVD, MAUMEE, OH 43537-8919
(419) 831-3333
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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