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Organization
CHRISTIAN HOME FOR THE AGED, INC.
Active
Organization
CHRISTIAN HOME FOR THE AGED, INC.
Active
Other names
Cornerstone Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI LYNN LINTHICUM (VP OF FINANCE)
(423) 610-8507
Entity
Organization
Contact information
Practice address
2012 SHERWOOD DRIVE, JOHNSON CITY, TN 37601-5230
(423) 232-8200
(423) 610-8515
Mailing address
2012 SHERWOOD DRIVE, JOHNSON CITY, TN 37601-5230
(423) 232-8200
(423) 610-8515
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0289
TN
314000000X
Skilled Nursing Facility
Primary
289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440022
—
TN
Enumeration date
10/18/2006
Last updated
04/07/2016
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