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NPI Code Detail

MEDICARE: CORNERSTONE HOME HEALTH SERVICES

MEDICARE: CORNERSTONE HOME HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency7759OK

General Provider Information

NPI Number : 1912231754
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 3824 N MERIDIAN AVE
Second Line : SUITE 102
City : OKLAHOMA CITY
State : OK
Zip : 73112-2853
Country : US
Telephone Number : 405-354-5454
Fax Number : 405-942-1555
Provider Business Practice Location Address
First Line : 3824 N MERIDIAN AVE
Second Line : SUITE 102
City : OKLAHOMA CITY
State : OK
Zip : 73112-2853
Country : US
Telephone Number : 405-354-5454
Fax Number : 405-942-1555
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. BALINDA CALLISON
Credential :
Telephone Number : 405-354-5454
Provider Enumeration Date : 09/28/2009
Last Update Date : 09/28/2009

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Directions to “CORNERSTONE HOME HEALTH SERVICES ” Practice Location

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