Provider Demographics
NPI:1417198441
Name:GEMSTONE HEALTH
Entity Type:Organization
Organization Name:GEMSTONE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOASTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-253-6368
Mailing Address - Street 1:631 W EXCHANGE ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1364
Mailing Address - Country:US
Mailing Address - Phone:330-253-6368
Mailing Address - Fax:
Practice Address - Street 1:631 W EXCHANGE ST
Practice Address - Street 2:SUITE G
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1364
Practice Address - Country:US
Practice Address - Phone:330-253-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-21
Last Update Date:2009-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health