Provider Demographics
NPI:1609179746
Name:CORNER STONE STAFFING, INC
Entity Type:Organization
Organization Name:CORNER STONE STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CALRENEASE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:662-274-0458
Mailing Address - Street 1:2120 LEBANON PIKE APT 87
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2444
Mailing Address - Country:US
Mailing Address - Phone:662-274-0458
Mailing Address - Fax:662-274-0459
Practice Address - Street 1:2120 LEBANON PIKE APT 87
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2444
Practice Address - Country:US
Practice Address - Phone:662-274-0458
Practice Address - Fax:662-274-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN160706302R00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No347C00000XTransportation ServicesPrivate Vehicle