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Organization

CORNERSTONE HEALTH CARE OF MCKENZIE, INC.

Active
Other names
Oak Manor Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA J MILENSKI (PRESIDENT)
(919) 467-6649
Entity
Organization

Contact information

Practice address
150 OAK MANOR RD, MC KENZIE, TN 38201-8846
(731) 352-5317
(731) 352-5942
Mailing address
150 OAK MANOR RD, MC KENZIE, TN 38201-8846
(731) 352-5317
(731) 352-5942

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
24
TN
314000000X
Skilled Nursing Facility
Primary
24
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445357
TN
01
7440561
ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
01/04/2010
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