Organization
CORNERSTONE SUPPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE L VERMILLION (PRESIDENT)
(913) 777-9044
Entity
Organization
Contact information
Practice address
15909 S LINDENWOOD DR, OLATHE, KS 66062-4021
(913) 777-9044
(913) 829-0552
Mailing address
1905 E 152ND ST, OLATHE, KS 66062-2932
(913) 777-9044
(913) 829-0552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200970490A
STATE OF KANSAS
KS
Enumeration date
10/09/2013
Last updated
10/09/2013
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