Organization
CORNERSTONE HEALTH CARE RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT J ROUNTREE (ADMINISTRATOR)
(918) 453-0040
Entity
Organization
Contact information
Practice address
1699 W 4TH ST, TAHLEQUAH, OK 74464-5065
(918) 453-0040
(918) 453-0220
Mailing address
PO BOX 2050, TAHLEQUAH, OK 74465-2050
(918) 453-0040
(918) 453-0220
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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