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Organization
CORNERSTONE HEALTH CARE OF PALMYRA, INC.
Active
Organization
CORNERSTONE HEALTH CARE OF PALMYRA, INC.
Active
Other names
Palmyra Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI J MILENSKI (PRESIDENT)
(919) 467-6649
Entity
Organization
Contact information
Practice address
2727 PALMYRA RD, PALMYRA, TN 37142-2051
(931) 326-5252
(931) 326-5585
Mailing address
2727 PALMYRA RD, PALMYRA, TN 37142-2051
(931) 326-5252
(931) 326-5585
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
192
TN
314000000X
Skilled Nursing Facility
Primary
192
TN
315P00000X
Intellectual Disabilities Intermediate Care Facility
192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445184
—
TN
01
—
7440300
ICF MEDICAID
TN
01
—
7447034
NEW DAWN ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
01/04/2010
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