Organization
BLUESTONE HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYWAN LORRANA MARIE HAYNES (OWNER)
(216) 374-0186
Entity
Organization
Contact information
Practice address
2375 E 40TH ST APT Q, CLEVELAND, OH 44104-1176
(216) 374-0186
Mailing address
2375 E 40TH ST APT Q, CLEVELAND, OH 44104-1176
(216) 374-0186
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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