# CORNERSTONE HEALTH CARE OF MCKENZIE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Manor Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649258112
- **Authorized official:** CYNTHIA J MILENSKI (PRESIDENT)
- **Authorized official phone:** (919) 467-6649

## Contact information

- **Practice address:** 150 OAK MANOR RD, MC KENZIE, TN 38201-8846
- **Practice address phone:** (731) 352-5317
- **Practice address fax:** (731) 352-5942
- **Mailing address:** 150 OAK MANOR RD, MC KENZIE, TN 38201-8846
- **Mailing address phone:** (731) 352-5317
- **Mailing address fax:** (731) 352-5942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 24 | TN | — |
| 314000000X | Skilled Nursing Facility | 24 | TN | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 01/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445357 | — | TN |
| 01 | — | 7440561 | ICF MEDICAID | TN |