Organization
CORNERSTONE CARE/MOBILE UNIT
Active
Parent organization
CORNERSTONE CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE CARE, INC.
Authorized official
MR. ROBERT MTJOY (CEO)
(724) 943-3308
Entity
Organization
Contact information
Practice address
104 FRONT STREET, SUITE VAN ONE, MT. MORRIS, PA 15349
(724) 324-9006
(724) 324-9005
Mailing address
7 GLASSWORKS RD, GREENSBORO, PA 15338-9507
(724) 943-3308
(724) 943-3310
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001975168-0003
—
PA
Enumeration date
06/08/2010
Last updated
06/08/2010
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