Organization
CORNERSTONE HEALTH CARE OF PALMYRA, INC.
Active
Other names
Palmyra Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI J MILENSKI (PRESIDENT)
(919) 467-6649
Entity
Organization
Contact information
Practice address
2727 PALMYRA RD, PALMYRA, TN 37142-2051
(931) 326-5252
(931) 326-5585
Mailing address
2727 PALMYRA RD, PALMYRA, TN 37142-2051
(931) 326-5252
(931) 326-5585
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
192
TN
314000000X
Skilled Nursing Facility
Primary
192
TN
315P00000X
Intellectual Disabilities Intermediate Care Facility
192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445184
—
TN
01
—
7440300
ICF MEDICAID
TN
01
—
7447034
NEW DAWN ICF MEDICAID
TN
Enumeration date
01/05/2006
Last updated
01/04/2010
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