- Enrollment id
- O20111018000163
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962738245
- Multiple npi flag
- N
- Ccn
- 747759
- Associate id
- 2163694159
- Organization name
- E. E. CORNERSTONE HOME HEALTH, INC
- Incorporation date
- 2008-04-01
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 203 LONGHORN TRL
- City
- GRAND PRAIRIE
- State
- TX
- Zip code
- 750523589