Provider Demographics
NPI:1992372783
Name:CORNERSTONE FAMILY RESOURCE CENTER
Entity Type:Organization
Organization Name:CORNERSTONE FAMILY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-323-1078
Mailing Address - Street 1:2500 BUSINESS CENTER DR APT 7204
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2455
Mailing Address - Country:US
Mailing Address - Phone:281-323-1078
Mailing Address - Fax:
Practice Address - Street 1:2500 BUSINESS CENTER DR APT 7204
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2455
Practice Address - Country:US
Practice Address - Phone:281-323-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care