# CORNERSTONE HEALTH CARE OF PALMYRA, INC.

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

## Provider details

- **NPI number:** 1831177252
- **Authorized official:** CYNDI J MILENSKI (PRESIDENT)
- **Authorized official phone:** (919) 467-6649

## Contact information

- **Practice address:** 2727 PALMYRA RD, PALMYRA, TN 37142-2051
- **Practice address phone:** (931) 326-5252
- **Practice address fax:** (931) 326-5585
- **Mailing address:** 2727 PALMYRA RD, PALMYRA, TN 37142-2051
- **Mailing address phone:** (931) 326-5252
- **Mailing address fax:** (931) 326-5585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 192 | TN | — |
| 314000000X | Skilled Nursing Facility | 192 | TN | Yes |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 192 | TN | — |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445184 | — | TN |
| 01 | — | 7440300 | ICF MEDICAID | TN |
| 01 | — | 7447034 | NEW DAWN ICF MEDICAID | TN |