Organization
CORNERSTONE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE STILLS RN (ADMINISTRATOR)
(423) 638-9995
Entity
Organization
Contact information
Practice address
808 TUSCULUM BLVD, GREENEVILLE, TN 37745-5123
(423) 638-9995
(423) 798-2820
Mailing address
808 TUSCULUM BLVD, GREENEVILLE, TN 37745-5123
(423) 638-9995
(423) 798-2820
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
64504
TN
Other
Enumeration date
01/27/2007
Last updated
03/11/2011
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