NPI 1699314443
Cornerstone Supported Living
Practice location
- Address
- 3400 E River Valley St APT J202, Meridian, ID 83646-2361
- Phone
- (907) 302-8366
- Fax
- (208) 955-5608
Authorised official
- Name
- Jamila Gilliam
- Title
- Administrator
- Phone
- (907) 302-8366
Registered specialties (15)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Case Manager/Care Coordinator
Home Health Agency
Supports Brokerage Agency
In Home Supportive Care Agency
Assisted Living Facility
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Intellectual Disabilities Intermediate Care Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Physical Disabilities Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Non-emergency Medical Transport (VAN)
Private Vehicle
Registry record
- NPI
- 1699314443
- Entity type
- Organization
- NPI issued
- 26 Dec 2019
- Record last updated
- 26 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.