Organization
CORNERSTONE DISTRICT 3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RAGLAND (VICE PRESIDENT)
(386) 362-8552
Entity
Organization
Contact information
Practice address
484 SW COMMERCE DR STE 130, LAKE CITY, FL 32025-1588
(386) 344-6935
Mailing address
484 SW COMMERCE DR STE 130, LAKE CITY, FL 32025-1588
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
04/14/2016
Last updated
07/26/2016
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