Organization
CORNERSTONE HEALTH CARE OF BOLIVAR, INC.
Active
Other names
Pleasant View Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J MILENSKI (PRESIDENT)
(919) 859-2773
Entity
Organization
Contact information
Practice address
214 N WATER ST, BOLIVAR, TN 38008-2341
(731) 658-5287
(731) 658-6359
Mailing address
214 N WATER ST, BOLIVAR, TN 38008-2341
(731) 658-5287
(731) 658-6359
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
116
TN
314000000X
Skilled Nursing Facility
Primary
116
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445352
—
TN
01
—
7440562
ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
04/16/2010
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