Organization
MRC CORNERSTONE
Active
Other names
Cornerstone Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON STEPHENS (TREASURER/CFO)
(281) 210-0138
Entity
Organization
Contact information
Practice address
4100 MOORES LN, TEXARKANA, TX 75503-5102
(903) 831-2968
(903) 832-5553
Mailing address
1440 LAKE FRONT CIRCLE SUITE 140, THE WOODLANDS, TX 77380
(281) 210-0138
(281) 292-6360
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
113743
TX
314000000X
Skilled Nursing Facility
113743
TX
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025701
—
TX
Enumeration date
07/21/2005
Last updated
05/11/2020
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