Organization
CORNERSTONE GARDENS L L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA PANOS (ACCOUNTANT)
(817) 444-2516
Entity
Organization
Contact information
Practice address
763 MARLANDWOOD RD, TEMPLE, TX 76502-3573
(254) 771-5950
Mailing address
7150 GANTT ACCESS RD, AZLE, TX 76020-5638
(817) 444-2516
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
125282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005544
—
TX
Enumeration date
08/08/2006
Last updated
08/03/2020
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