Organization
CORNERSTONE HME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLE GOLDEN (OWNER)
(901) 239-3194
Entity
Organization
Contact information
Practice address
6228 SIERRA DR, OLIVE BRANCH, MS 38654-7964
(901) 239-3194
Mailing address
6228 SIERRA DR, OLIVE BRANCH, MS 38654-7964
(901) 239-3194
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
08/04/2016
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