Organization
KORNERSTONE LLC
Active
Other names
Kornerstone Transport
Organization subpart
No
Provider details
NPI number
Authorized official
IRAN AMANDAH M.S. (OWNER/MANAGER)
(262) 794-1229
Entity
Organization
Contact information
Practice address
1150 GREENWAY TER APT 1, BROOKFIELD, WI 53005-6925
(262) 794-1229
Mailing address
1150 GREENWAY TER APT 1, BROOKFIELD, WI 53005-6925
(262) 794-1229
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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