Organization
CORNERSTONE HEALTH CARE OF DOUGLAS, INC.
Active
Other names
Douglas Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J MILENSKI (PRESIDENT)
(919) 859-2773
Entity
Organization
Contact information
Practice address
2084 W MAIN ST, MILAN, TN 38358-3515
(731) 686-8321
(731) 686-7382
Mailing address
2084 W MAIN ST, MILAN, TN 38358-3515
(731) 686-8321
(731) 686-7382
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
85
TN
314000000X
Skilled Nursing Facility
Primary
85
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445434
—
TN
01
—
7440055
ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
02/27/2013
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