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Organization
CORNERSTONE HEALTH CARE OF MCKENZIE, INC.
Active
Organization
CORNERSTONE HEALTH CARE OF MCKENZIE, INC.
Active
Other names
Oak Manor Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J MILENSKI (PRESIDENT)
(919) 467-6649
Entity
Organization
Contact information
Practice address
150 OAK MANOR RD, MC KENZIE, TN 38201-8846
(731) 352-5317
(731) 352-5942
Mailing address
150 OAK MANOR RD, MC KENZIE, TN 38201-8846
(731) 352-5317
(731) 352-5942
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
24
TN
314000000X
Skilled Nursing Facility
Primary
24
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445357
—
TN
01
—
7440561
ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
01/04/2010
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