Organization
CORNERSTONE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ERNEST GERMANN (MANAGING MEMBER)
(919) 630-4280
Entity
Organization
Contact information
Practice address
415 LILLIPUT LN, WAKE FOREST, NC 27587-7477
(919) 630-4191
(919) 556-1055
Mailing address
415 LILLIPUT LN, WAKE FOREST, NC 27587-7477
(919) 630-4191
(919) 556-1055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
252Y00000X
Early Intervention Provider Agency
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300153
—
NC
Enumeration date
08/22/2006
Last updated
06/26/2013
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