CORNERSTONE I INC.
Residential Treatment Facilities at M 43, Bangor, MI

License number
Michigan AM800267076
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MRS. TRACIE ANN HERNANDEZ
Title: CEO
Phone: (269) 317-4433
Address
Address 2
59859 M 43, Bangor, MI 49013
PO Box 277, Bloomingdale, MI 49026
National Provider ID: 1467756221
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CORNERSTONE I, INC

Bloomingdale, MI

Doing business as:
CORNERSTONE II INC
Registration:
Nov 15, 2001
Addresses:
44409 Baseline Rd, Bloomingdale, MI 49026 (Physical)
PO Box 277, Bloomingdale, MI 49026 (Mailing)
State ID:
22934C
Business type:
Domestic Profit Corporation
Agent:
Tracie A Hernandez

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